OCA Extravaganza Registration

Extravaganza Registration Form

Name #1:
Name #2:
Address:
City:
State:
Zip:
Phone:
E-mail:

Convention Special Package:

Extravaganza registration, T-shirt.
(must be received by no later than Nov 1 st , 2007)

$35.00 X Number

= $

“Extravaganza” T-shirts without registration

All T-shirt must be PRE ORDERED by
November 1, 2007 due to limited supply!!

$17.00 X Number

= $

Indicate size (quanity)

XXL

XXXL

Registration "ONLY" Fee
Early registration SPECIAL $25.00 if registered before November 15, 2007

$28.00 X Number

= $

O.C.A. "Mail" Membership
Canadian add $3.00 per year

O.C.A. "E-Mail" Membership

Electronic .PDF format requires Adobe Acrobat Reader 6.0.

E-Mail Address:

Show Entries:

$2.50 X Number = $

Bulletin Board Ads:
You must be a paid registrant and rooms will be verified with the hotel .

$10.00 each X Number = $

Hydro-sponge-1 filters
Filters to be picked up after 2:00 PM Sunday, November 19. Filter purchase NOT REQUIRED for show entry. You must be registrant of the convention to purchase Hydro sponge filters.

$3.50 each X Number = $

Ten gallon Tanks
Note: Tanks may be purchased in advance or you can provide your own.

$7.00 X Number = $

If you have any questions, contact Rhonda or Eric at 440-236-6301 or OhioCichlidAssoc@aol.com. Can't reach Rhonda? Call Don Danko at 440-526-0755 or Dan Woodland at 440-885-2033.

Total (Make Check payable to Ohio Cichlid Association) $

If additional space is required, please use the back of the printed form. Thank You!

Print and Submit to:
Ohio Cichlid Association
c/o Rhonda Sorensen
12207 Lena Avenue
Cleveland, OH 44135

Extravaganza Show Dates

November 16, 17, & 18, 2007

Extravaganza Registration Form