25th (and final) Phlocking of the Phaithful

June 6 – 8, 2019 – Put-In-Bay, OH

www.phlocking.com

“PLAYS WELL WITH OTHERS”

ADVANCE REGISTRATION ONLY – NO REGISTRATION AT EVENT

Please note: Online Registration is NOT available.

REGISTRATION FEE OF $80.00 PER PERSON (U.S. FUNDS ONLY)

MUST ACCOMPANY THIS FORM

Registration Deadline is April 19, 2019 – Only 200 registrations will be accepted

After April 19, the registration fee increases to $90.00, with no guarantee that you will receive an event T-shirt. Please call 412-221-5219 to confirm that space is available.

Please complete one form for each person registering.

· Send appropriate U.S. Funds as outlined below. Checks and Money Orders must be made payable to "Phlocking of the Phaithful"

· Please PRINT clearly and complete ALL information shown below.

· You will be notified by email when your registration is received. If you do not have an email address, please provide a self-addressed, stamped envelope for registration verification.

· All parties are private; you must wear event credentials for admission

· Questions: Contact steelcitydan@comcast.net or phone 412-221-5219

Check-in, credentials and event schedule distributed at Mr. Ed’s on Thursday, June 6, 2-5 P.M. and Friday, June 7, 11 AM-Noon ONLY. Phlockers lunch served Saturday at Noon.

NAME: __________________________________________________________________

ADDRESS: _______________________________________________________________

PHONE: _____________________________ EMAIL _____________________________

Please indicate T-SHIRT SIZE below. Note additional charge for plus sizes

_____M _____L _____XL _____2X (+$2.00) _____3X (+$3.00) _____4X (+$4.00)

Registration Fee - $80.00 per person ($90.00 after April 19th) = $______________________

Additional T-Shirt Fee for Plus Sizes $____________________________________________

TOTAL AMOUNT ENCLOSED: $________________________________________________

Special event?_______________________________________________________________