Registration Form

REGISTRATIONS CLOSE FRIDAY OCTOBER 7TH 2011

AND NO LATE REGISTRATIONS WILL BE ACCEPTED ATER THIS DATE.

 

For postal registrations please print this page, fill in your details below and then post to us with your payment.

 (Cheque or money order made out to “Adelaide Magic Convention”)

 

Adelaide Magic Convention

3/21 Myponga Terrace

Broadview SA 5083

Australia

 

For PayPal registrations please use the drop down menu to make your selection below.

Please indicate in the optional message section at checkout if you wish to participate in any

competitions and/or require vegetarian meals.

Acceptance Mark
REGISTRATION TYPE

REGISTRATION TYPE

PRICING ($ AUD)

MAGICIAN

$295.00

SPOUSE

$245.00

JUNIOR (U16)

$245.00

EXTRA BANQUET

$75.00

FRIDAY ONLY

$80.00

SATURDAY ONLY

$180.00

SUNDAY ONLY

$125.00

NAME

 

ADDRESS

 

STATE & POST CODE

 

COUNTRY

 

PHONE

 

EMAIL

 

COMPETITIONS (CIRCLE)

              STAGE                      CLOSE UP                        CHILDRENS

VEGETARIAN MEALS

    PLEASE CIRCLE   YES   IF YOU REQUIRE VEGETARIAN MEALS. 

REGISTRATION TYPE

NUMBER OF REGISTRANTS

PRICE

TOTAL

($ AUD)

MAGICIAN

 

 

 

SPOUSE

 

 

 

JUNIOR (UNDER 16)

 

 

 

FRIDAY ONLY

 

 

 

SATURDAY ONLY

 

 

 

SUNDAY ONLY

 

 

 

EXTRA BANQUET

 

 

 

AMOUNT PAYABLE

 

 

$