Melbourne Hamfest
Swap Table Order Form
September 10th, 11th, 2005
(To print, right click with mouse and select PRINT)
Please reserve _____ table(s) @ $20.00 per Table $ ___________
Limit 2 Adjacent tables per request. ($20 reserves one table for both days)
Advance Registration Tickets (SASE only) ________ @ $5 each $ __________
(Admission for swap table setup and Hamfest requires one ticket per person attending)
Check Number ____________ Total $ __________
DO NOT SEND CASH
NAME _______________________________________________ CALL_______________
STREET____________________________________________________________________
CITY _________________________________________STATE __________ ZIP_________
PHONE NUMBER___________________________________________________________
EMAIL ADDRESS __________________________________________________________
Mail completed application with self addressed Stamped Envelope to:
Platinum Coast Amateur Radio Society
PO Box 1004
Melbourne, FL 32902-1004