Circus City Swapfest 2011
Advanced Registration Form

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Fill out the form and send a check or money order with
a self addressed, stamped, business-sized envelope to:

Yellow Thunder Amateur Radio Club
P.O. Box 202
Baraboo, Wisconsin 53913

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                                                                                                     Total

__________ Admission Tickets @ $5.00 each                         __________

__________ Table Reservations @ $10.00 each  (8 foot)          __________
                    Will you need electricity?      Yes      No      circle one

Company:______________________________________________

Name:_________________________________________________

Address:_______________________________________________

City:__________________________ State:_____ Zip:__________

Phone:_________________________________________________

Call Sign:_____________________________


E-Mail Address:_________________________________________

                                                          Total amount enclosed__________

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