Home Page > Meeting of the Minds > Registration

19th Annual Meeting of the Minds 2010
Gypsies in the Palace
November 4 - November 7, 2010 (Key West, Florida)


Click here if you have QUESTIONS before you fill out this form.

E-MAIL US for any additional questions!


* Choose your PHIP Club:
* First name:
* Last name:
Nick name:
* Address:
 
* City:
*State:
* Zip Code:
* Country:
* Day Phone:
Home Phone:
* E-mail Address:
Where are you staying in Key West?
[1 T-Shirt included in $75.00 registration fee (United States Dollars ONLY). Larger sizes additional]
T-shirt size:
EXTRA T-shirts may be purchased below - select the quantity next to the size.
Extra SMALL shirts:
Extra MEDIUM shirts:
Extra LARGE shirts:
Extra X-LARGE shirts:
Extra XX-LARGE shirts:
Extra XXX-LARGE shirts:
Meeting of the Minds Registration Fee:
$75.00 PER PERSON (United States Dollars ONLY)
**** NO REFUNDS ****
**** REGISTRATION IS NON-TRANSFERABLE ****
Make check payable to:
PHIP, Inc.

Mail to:
Charlene Schultheis
PHiP Director of Finances
6011 Blunden Road
Dublin, Ohio 43016-6727		 NOTE:
REGISTRATION CLOSES 11:59pm (PDT) ON SEPTEMBER 30, 2010 or at 3500 registrants - WHICHEVER COMES FIRST!
YOU WILL RECEIVE A CONFIRMATION POSTCARD IN THE MAIL THIS POSTCARD MUST BE BROUGHT TO THE REGISTRATION ROOM TO RECEIVE YOUR PACKAGE.
I would like to volunteer for: (CHECK ALL THAT APPLY)

Registration
Merchandise Table
Security
Auction Table
Zonta Walk/Run
Registration table times: Thursday (9a-12p, 12p-3p, 3p-6p, 6p-9p), Friday (9a-12p, 6:30p-8p)
Merchandise table times: Thursday (9a-12p, 12p-3p, 3p-6p, 6p-9p), Friday (9a-12p) and Saturday (9a-12p, 12p-3p)
I agree:

 By checking this box, I acknowledge I have read, understood, agree to and will comply with the MOTM guidelines as set forth by PHiP Inc.

I understand that should I not be confirmed by my Parrot Head Club as a member in good standing, I will not receive a refund of the cost of registration.

Further, I will not will not be allowed to attend the activities at the convention site location and my registration fee will be donated to charity by PHiP Inc.
Your credit card statement will list "Parrot Heads in Paradise, Inc. MOTM Registration" on it.

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