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_____________________________________________________________________ REGISTRATION FEES By April 15th After April 15th At door Saturday & Sunday $ 175 $ 185 $ 200 One day only $ 95 $ 105 $ 120 Sat. VIP Cocktail Reception w/Banquet w/Banquet w/Banquet Cinco De Mayo Party/Banquet $ 65 $ 75 $ 85
_____________________________________________________________________ REGISTRATION INFORMATION (Please print clearly):
Name #1: Name #2: Address: Apt #: City: State: Zip Code: Country: Telephone: ( ) Fax: ( )
_____________________________________________________________________ PAYMENT DETAILS Quantity EARLY BIRD Quantity LATE REG Sub-total
TOTAL $
Method of Payment: Check Cash / Visa / MasterCard Card #: Expiration date: Cardholder Name: Signature:
Please make checks payable to: PARROTS INTERNATIONAL. Registration confirmations will be sent by email/fax (preferable) or mail. _____________________________________________________________________
Mail or Fax to: Parrots International 15332 Antioch Street #417, Pacific Palisades, CA 90272 Fax (310) 454-9915 (310) 451-4466 _____________________________________________________________________
We look forward to you joining us in May. Please view our website www.parrotsinternational.org for the latest updates.
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