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



REGISTRATION FORM
2017 PCA, INC. Convention in Norfolk, Virginia


To register for the 2017 PCA, Inc. Convention in Norfolk, Virginia, 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".

Registrant No. 1 Name:  
Name to appear on badge:  
Address:  
   
City:  
State/Province:  
Zip/Postal Code:  
Country:  
Email address:  
First time at a PCA, Inc. Convention?  
I volunteer to be a mentor
to a first-time convention attendee
 
Saturday Night Banquet Meal Selection  

Registrant No. 2 Name:  
Name to appear on badge:  
Address:  
   
City:  
State/Province:  
Zip/Postal Code:  
Country:  
Email address:  
First time at a PCA, Inc. Convention?  
I volunteer to be a mentor
to a first-time convention attendee
 
Saturday Night Banquet Meal Selection  

Please enter any comments.
(This is the place to indicate any special requirements in compliance with the American Disabilities Act.)


REGISTRATION FEES

Select your preferred registration option by choosing the circle to the left of your option, then choosing the remaining details for that option. The total amount for all your selected choices will be displayed to the right of Total Amount Due in the bright orange strip below.

Early Registration submitted or postmarked no later than March 31, 2015.
(Please do not choose options that add up to more than 2 registrants.)
PCA, Inc. Member
($340 each):
$
PCA, Inc. Non-Member
($380 each):
$
Late Registration submitted or postmarked after March 31, 2015.
(Please do not choose options that add up to more than 2 registrants.)
PCA, Inc. Member
($370 each):
$
PCA, Inc. Non-Member
($410 each):
$
One Day Registration for 1 or 2 registrants, on same or different days.
(Please do not choose options that add up to more than 2 registrants.)
PCA, Inc.
Member
($140 each on Thursday or Friday; $180 each on Saturday):
$
PCA, Inc.
Non-Member
($155 each on Thursday or Friday; $195 each on Saturday):
$
   
Optional for PCA members only:
Wednesday (April 26) Bus Tour of Norfolk, VA and Norfolk Naval Base

This registration form must be received by PCA, Inc. by March 25, 2017 in order for you to be allowed on the Naval Base tour.
  PCA, Inc. Member
($75 each):
$
       
2017 PCA Convention Commemorative Paperweights
The 2017 PCA, Inc. Convention is offering three commemorative paperweights. (See photos below.) Each one has a limited edition of 20. If you are interested, check the box below, and pictures and more information will be displayed for you.
   Show me more!
       
 
Total Amount Due:
$

PAYMENT INFORMATION

I will pay the total membership amount using:

PayPal — To pay through your PayPal account, log into your account and direct your payment to: pcaon-line@paperweight.org. 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 © 2017 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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