Registration Form

The Chicago Computer Society

Presents its Fifth Annual Mini-Expo

Enjoying the Digital Revolution

Saturday, September 16, 2006

9:00 am to 5:00 pm

Registration 8:00 am

 

Prairie State College

Vollmer Road and Halsted Sreet

Chicago Heights, Ilinois

Donation: $20.00 (includes lunch)

$15 if Pre-register by September 11, 2006 and you save $5.00,

 Earn extra MX-V Door Prize and Grand Prize tickets:

        Attending MX-V entitles you to 2 tickets (one for the regular drawing and one for the grand-prize drawing).

  Pre-register before September 11, earn an extra 2 tickets (one for each drawing).

     Pay your 2006-2007 membership fee AND pre-register by September 11, earn another 2 tickets.

 

Name __________________________________________   Phone __________________________

Address___________________________________________________________________________

City ___________________________________________ State _______ Zip Code_____________

Are you a member of The Chicago Computer Society  Yes_____              No______

Email Address ___________________________________________ Amount $________________

Make all checks payable to Chicago Computer Society

This form may be reproduced for additional pre-registrants

CCS is a not-for-profit 501(C)3 Educational Organization