EmailMe Form - ROPEX 2011 Exhibitor Entry Form

ROPEX 2011 Exhibitor Entry Form
ROPEX 2011 is being held May 13-15 at The Sports Centre at Monroe Community College. Fill out this form then print a copy for your reference. Enter the image verification code then submit the form at the lower left. If you have questions, contact Tom Fortunato at stamptmf@frontiernet.net.

Name *

Address *

City *

State/Province *

Zip+4/Postal Code *

Email Address *

Day Phone (enter as ###-###-####) *

Evening/Weekend Phone (enter as ###-###-####) *

ROPEX Attendance *

I plan to attend ROPEX

Unsure

I do not plan to attend ROPEX

Exhibit Title *

Exhibit Description (maximum of 25 words) *

Entry Type *

Competitive

Non-Competitive

Number of Frames Requested *

Exhibit Class *

Adult Multi-frame ($10/frame)

Adult Single Frame ($20/frame)

Youth under 21 as of January 1, 2011 ($5/frame)

Exhibit Division *

Charity/Promotion/ Cinderella

Display

Illustrated Mail

Postal

Post Card

Revenue

Thematic

Unsure

First Time National Exhibitor *

Yes

Method of Delivery *

I will bring it in person

Agent (name below)

USPS First Classs Mail

USPS Priority Mail

USPS Express Mail

Fed-Ex

Other

UPS

Delivery Agent or Other

Method of Return (USPS registered mail is not available) *

I will pick it up in person

Agent (name below)

USPS First Class Mail

USPS Priority Mail

USPS Express Mail

Fed-Ex (prepaid only)

UPS (prepaid only)

Return Agent or Notes

Extra Mailing Services *

None needed

USPS Certified

USPS Delivery Confirmation

USPS Insured

UPS Insured

Return Insurance Value or Notes

Society Memberships

RPA

AAMS

AAPE

AFDCS

APS

ARA

ATA

ESPHS

PHS

RPSC

UPSS

USSS (BIA)

Other Philatelic Society Memberships

Comments or Questions

I have read and will abide by the ROPEX prospectus rules and regulations. *

Yes

Image Verification
	Please enter the text from the image: [Refresh Image] [What's This?]

EMF Forms Online
Report Abuse