Names of Adults Attending:

Names of Children Attending:

Email Address:

Address Line 1:

Address Line 2:

City:

State/Province:

Zip Code/Postal Code:

Is any member of your household an APS Member?
YES NO
If YES, provide APS number if known

I would like to help at the show. Please contact me about volunteer opportunities.
      YES      NO
       If you are volunteering and would prefer to be contacted by phone,
       please provide a daytime phone number

Where will you stay during the show?
Home With Friends or relatives Hotel/Motel/B&B Other

How will you get from home to the shows?
Car Air Bus Train Other

How did you hear about the show?

Friend	Radio	American Philatelist	Club Meeting
TV	Banner	Brochure	Poster/Flyer
Newspaper	Dealer	Internet	Other

I/We plan to attend:
1 day 2 days 3 days

Email:
Password:

Preregister today!And don't forget to book your hotel room!

Preregister today!
And don't forget to book your hotel room!