Tim’s Registration Page

Magician's Name:

First

Last

Spouse's Name ( If attending )

First

Last

Note: If your spouse is attending her ticket is included in that checkout option.

Magician's

Magician's Email Address:

Stage Name:

Enter your stage name if you have one

Magician's Phone Number:

Magician's Website / URL or FaceBook Page

Magician's Address

Address Line 1

City

Suite, Apt, Unit, Etc.

State

If you would like to receive our mailings check the appropriate boxes.

As a club policy, our lists are confidential and we do not share them.

Zip Code

Enter the Names of all additional ticket holders. ___________ Note: If you register as Magician and Spouse her ticket is already included.

Put one name on each line and then hit Enter. The form will expand to accommodate up to 10Tickets.

Total owed.

Enter the total they owe.