.: 2010 Saint John RCNA Convention Registration Form

Name*

RCNA#

Address*

City*

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Name of Spouse registering (required for name badges)

Name of Other Family Members registering (required for name badges, please use (J) for Junior)

Note any special dietary requirements

Exhibitors Please indicate here if you intend to exhibit competitively so we can mail or email you the Exhibitor Application Form. Or download the form from the RCNA Website www.rcna.ca/2010exhibit.pdf

Bourse dealers: Your bourse fee entitles entry to the bourse for yourself and one assistant per table, admittance to the RCNA President & Saint John Coin Club's Welcome Reception, the Royal Canadian Mint Reception and unlimited visits to the Hospitality Suite. It does not include a registration package. If dealers wish to acquire a convention medal, tickets to the RCNA Banquet, or other items detailed below, they must place an order via this form, at the appropriate additional cost.