Smofcon 15 Membership Form

To purchase a Smofcon 15 membership, complete this form and mail it to: Smofcon 15, PO Box 1010, Framingham, MA 01701-1010.

Credit card purchases may be faxed to 617-776-3243.

Memberships $35 (US Funds) until November 17, 1997 (and will be $45 at the door).

Make checks payable to MCFI. We also accept Visa and MasterCard. Please don't mail cash.

Name(s): _______________________________________________________________

Address: _______________________________________________________________

________________________________________________________________________

City: _____________________________ State/Province: ____________________

Zip/Postal Code: __________________ Country: ___________________________

Phone number: __________________________________________________________

Email Address: _________________________________________________________

* Shoe size: ___________________________________________________________

I am buying __________ membership(s) at $35 each, total $__________.
I am paying by _____ Check _____ MasterCard _____ Visa

Credit Card # ________________________________________ Exp: ____________

Name on Card: __________________________________________________________

Signature: _____________________________________________________________

Mail your memberships to: Smofcon 15 PO Box 1010, Framingham, MA 01701-1010.


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