Paperweight Collectors Association Inc. Paperweight Collectors Association Inc.
Convention Registration
Paperweight Collectors Association Inc.



LATE REGISTRATION FORM
2019 PCA, INC. Convention in Dearborn, Michigan
(all forms submitted online or postmarked after April 1, 2019 are "late registration", with higher registration fees)


To register for the 2019 PCA, Inc. Convention in Dearborn, Michigan, please fill in the form below. This form may be used to register up to two people. If you have more than two registrants, please re-submit the form, filling it in for two of them at a time. If you are just registering one person, please fill in the area labelled "Registrant No. 1".

Note: Filling in and sending us this form is an essential part of registering. If we receive a check, credit card, or PayPal payment without this information, we will not necessarily know your correct contact information, and we may not record your selections correctly.


Registrant No. 1 Name:  
Name to appear on badge:  
Address:  
   
City:  
State/Province:  
Zip/Postal Code:  
Country:  
Email address:  
Parking space:   I will will not require an accessible parking space for my automobile.
Mobile phone number:  
If you don't have a mobile phone, enter: none.
First time at a PCA, Inc. Convention?   yes no
PCA, Inc. Member?   yes no
Note: Members pay lower convention registration fees. To become a member, click here.
Indicate which days you will be attending:   Thursday (includes Artists' Fair and Dealers' Fair on Wednesday night)
Friday
Saturday (includes banquet)
 
  I will also be attending the Wednesday (May 15) Tour of The Henry Ford ($60, PCA Inc. members only)
Total Amount For Registrant 1 (in the orange strip below) is determined from the choices you enter above: whether Registrant 1 is a PCA Member; which days Registrant 1 will be attending; and whether Registrant 1 is attending the Wednesday Tour (for PCA Members only). You must answer "PCA Member?" with "yes", in order to be able to select the tour option.
 
Total Amount For Registrant 1: $  
 
Registrant No. 2 Name:  
Name to appear on badge:  
Address:  
   
City:  
State/Province:  
Zip/Postal Code:  
Country:  
Email address:  
Mobile phone number:  
If you don't have a mobile phone, enter: none.
First time at a PCA, Inc. Convention?   yes no
PCA, Inc. Member?   yes no
Note: Members pay lower convention registration fees. To become a member, click here.
Indicate which days you will be attending:   Thursday (includes Artists' Fair and Dealers' Fair on Wednesday night)
Friday
Saturday (includes banquet)
 
  I will also be attending the Wednesday (May 15) Tour of The Henry Ford ($60, PCA Inc. members only)
Total Amount For Registrant 2 (in the orange strip below) is determined from the choices you enter above: whether Registrant 2 is a PCA Member; which days Registrant 2 will be attending; and whether Registrant 2 is attending the Wednesday Tour (for PCA Members only). You must answer "PCA Member?" with "yes", in order to be able to select the tour option.
 
Total Amount For Registrant 2: $  
 
Please enter any comments.
(This is the place to indicate any special requirements in compliance with the American Disabilities Act.)

2019 PCA CONVENTION COMMEMORATIVE PAPERWEIGHTS

The 2019 PCA, Inc. Convention is offering three commemorative paperweights. (See photos below.) Each one has a limited edition. If you are interested, check the box below, and pictures and more information will be displayed for you.
   Show me more!


Total Amount Due (for registration fees and paperweights): $  

PAYMENT INFORMATION

I will pay the total membership amount using:

PayPal If you select this option, you will be transferred to PayPal automatically right after you submit this form.

Credit Card — We accept Visa, MasterCard, or Discover. If you choose this option, a form will appear below, enabling you to enter your credit card information.

The lock icon at the top left of your browser indicates that this is a secure page. Our website uses Secure Sockets Layering (SSL) to encrypt your personal credit card information, before it travels over the Internet.

Check or Money Order — Please make check or money order (payable in U.S. dollars drawn on a U.S. bank) payable to PCA, Inc., and mail to PCA, Inc., Attn: Membership, PO Box 334, Fairless Hills, PA 19030-0334. When you submit this form, a printer-friendly version of your application will appear, which you can print out and send us along with your check or money order.
 
   



Cancellation and Registration Fee Refunds Policy and Procedure

Convention registration fees will be refunded under the following conditions:

Refunds will be made according to the following schedule:


Copyright © 2019 Paperweight Collectors Association, Inc.
All Rights Reserved. All photographs on this website are credited to PCA with the suppliers permission unless otherwise identified.
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