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
Mail Registration Form to: Dan Kaley, 169 Pinewood Drive, Bridgeville, PA 15017

Check-in, credentials and event schedule distributed 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?______________________________________________________________