Attendee Pre-Registration Form

Print this form, fill out, and mail with your check or money order to:
Pinball Expo '98
2671 Youngstown Road S.E.
Warren, OH 44484
In order to pre-register and have your badge ready for you at the Pinball Expo Registration Desk, this form must be mailied to arrive NO LATER THAN October 12, 1998. After October 12, 1998, you must register on-site.
Name:___________________________________________________ Age:_________
Company:________________________________________Title:________________
Address:______________________________________________________________
City:_____________________________ State:_____________Zip:____________
Phone(Day):_____________________ Phone(Evening):______________________
Has your address changed in the last 12 months?  Yes_______ No________
What is your involvement in the coin-op industry? ____________________
______________________________________________________________________
What is your occupation? _____________________________________________
How did you hear about Pinball Expo? ___Press  ___Release  ___Magazine
___Friend  ___Other:__________________________________________________
Please list with addresses any other possible Pinball Expo attendees:_
______________________________________________________________________
______________________________________________________________________
Those requiring exhibit information may write or call Pinball Expo '98 Headquarters or call exhibits chairman, Mike Pacak, at (330) 549-2596
_________GENERAL ADMISSION PACKAGE @ $80.00 EACH (without Banquet)
         Includes all seminars, exhibit hall admission, factory 
         tour, and 2 entries in Flip Out '98.  BANQUET NOT INCLUDED.
         (Advance registration only.  MUST be received by October 12,
         1998.)
_________ADVANCE ADMISSION PACKAGE @ $100.00 EACH (with Banquet)
         Includes all seminars, exhibit hall admission, banquet, 
         factory tour, and 2 entries in Flip Out '98.
         (Advance registration only.  MUST be received by October 12,
         1998.)
_________POST REGISTRATION PACKAGE @ $90.00 EACH (without Banquet)
         Includes all seminars, exhibit hall admission, factory
         tour, and 2 entries in Flip Out '98.  
         (Received after October 12, 1998 also available at door.)
_________POST REGISTRATION PACKAGE @ $110.00 EACH (with Banquet)
         Includes all seminars, exhibit hall admission, banquet,
         factory tour and 2 entries in Flip Out '98.
         (Received after October 12, 1998 also available at door.)
_________ADDITIONAL BANQUET TICKETS @ $40.00 EACH
_________PINBALL FACTORY TOUR ONLY @ $25.00 EACH
_________EXHIBIT HALL ADMISSION ONLY (4 DAY) @ $35.00 EACH
_________SEMINARS ONLY @ $30.00
_________TOTAL ENCLOSED (U.S. dollars drawn on U.S. banks, 
         payable to Pinball Expo.)
Please enclose full payment with this form and check where appropriate

PINBALL EXPO '98

2671 Youngstown Rd., S.E. * Warren, OH 44484 * (330) 369-1192 * (800) 323-FLIP

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