air 72  

ON LINE REGISTRATION FORM - JANUARY 16, 2010

 

First Name*  
Last Name*  
Street Address 1*  
Street Address 2  
City*  
State / Province*  
Postal Code  
Country*  
e-mail address  
Number of tables requested*  
Telephone Number  
What you will be selling  
Additional Comments  
Payment selection*  
   

Please make all check / money order payments in the name of Joe Fernandez to:

MIAMI 2010 c/o JOE FERNANDEZ 

PO BOX 2650

KYLE, TEXAS 78640  USA

 

 

 

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