21st Annual NDPCS Convention – Registration Form - June 11-13, 2010
 

Name   ________________________________________Membership #___________________

Name _________________________________________Membership #/spouse/guest________

Name _________________________________________Membership #/spouse/guest________

Address ___________________________________________________

City, State, Zip ______________________________________________

No. of persons ________@ $60.00 per person                                                 $_______________

No. of Saturday noon Box Lunches _______@ $7.00 each per person              $_______________

$5.00 Late Fee Applies after 5-1-10 Per Registration                                   $_______________

                                                                                                                 Total $_______________

Registration includes the Friday Social June 11^th at the Garden Hilton Inn and the Saturday Banquet dinner June 12^th at the North Dakota Museum of Art.
Please indicate your Banquet Dinner Choice:

___Mandarin Chicken Breast ___Pork Tenderloin ___Vegetarian Penne Pasta

Make checks payable to: NDPCS. Send payment and Registration form to:
Larry Leake, 355 South Broadway, Crookston, MN 56716, 218-281-6551

                        See You at the “UND Ceramics Centennial” NDPCS Convention!

FIRST TIMER AWARD PRIZE DRAWING

If you are attending this convention for the first time, please fill out the coupon below and return it with your registration. 
You are eligible for a great first timers prize drawing.

Name: ________________________________________________________________________________

Address: _______________________________________________________________________________

Name of person who referred you: ____________________________________________________________

Address: _______________________________________________________________________________

Phone #: _______________________________________________________________________________

2010 NDPCS Pottery/Collectible Show - June 13, 2010 - Garden Hilton Inn, Grand Forks

Reservation Form for Exhibitors

Sunday Show Set Up: 7:30 am to 9:00 am. Sunday Show Time: 10:00 am to 2:00 pm.

Deadline for reservations is June 1, 2010

Name:  _______________________________________Phone #__________________

Address:  ______________________________________________________________

City, State & Zip:  _______________________________________________________

Membership # _______________ ND Sales Tax #_____________________________

Member Cost is $15 per table.  Number of tables _____ x $15 = $ _______

Non-Member Cost is $35 per table. Number of tables _____x $35 = $______

Space is limited to approximately 30 tables. Make checks payable to:  NDPCS.  Send payment and Reservation form to: Kirk Carlson, 225 Conklin Ave., Grand Forks, ND 58203, 701-746-6058

2010 COMMEMORATIVE ORDER FORM

   Name ________________________________________          Return to:  Bonnie & Arley Olson

  Address ______________________________________                            1060 Foster Drive

  City, State, Zip _________________________________                             Dickinson, ND 58601

  Membership No. (s) _____________________________                             701-225-6681

  ND Sales Tax Permit # __________________________                               abolson@goesp.com

    _____ I will pick up $26.69        _____ Mail in state $32.69         _____ Mail out of state $31.00

   _____ Will be picked by _______________________       

Make Checks Payable to: NDPCS

 One Commemorative per paid 2010 Membership

 $5.00 late charge effective as of 4/1/10 per commemorative

To submit your lots to the NDPCS 2010 Auction, please click here
AUCTION REGISTRATION