Registration and order form

This page contains the registration and order form.  This is for vendors, flea market people, those who want two-day passes, bringing games, etc.  We must receive this form before Sept 25, 2010.  Kindly print out this page complete the form, sign, and mail it to:

White Rose Gameroom Show, P.O. Box 241, York New Salem  PA   17371

Please enclose a full payment made payable to: White Rose Gameroom Show.

Name__________________________Address______________________________

City / state_____________________________Zip __________________________

Telephone____________________       E-mail______________________________

I'm bringing _______ game(s).

I'm bringing the above game(s) for _______Friday_______Saturday

I will need indoor vendor space.

Each space is 10' x 10'              $135 x ________ spaces = $________

              Tables for my space         $9 x ________   tables = $________

              Chairs for my space         $1 x ________   chairs = $________

I will need tailgate space. 

Each space is 10' x 10'.               $75 x ________  spaces = $_______

T-shirts are $15.00 each.  Indicate quantity next to the size.

  _______M, _______L, _______XL, _______XXL, _______XXXL= $_______

Delivery preference of the shirts (check one)

            _______ by mail (add $4 shipping),  _______I'll pick up at the show

Special 2-day passes must be ordered and pre-paid by October 2, 2010.

(No 2-day passes at the door)

2-day passes -->Adults $25 x _____passes = $_______

   Kids 6 to 12  $8 x _____passes = $_______

         I'm enclosing a check for a grand total of $____________.  (thank you)

If we are notified after Sept. 25, 2010: 

Each outdoor flea market space increases to $100.00

Each indoor vendor space increases to $160.00

I understand that the promoters, workers, and volunteers are not responsible for lost, damaged, or stolen property, nor liable for personal injury of any kind.  I am aware of the penalties that could occur on my tailgate or inside vendor space if not paid by Sept. 25, and am aware of the rules of the show, and early game removal conditions.

Please sign below.

__________________________________________________________________________________