ECOF REGISTRATION
August 3-6, 2006

Your registration fee of $80.00 includes events at the three-day ECOF, deli and banquet tickets, souvenirs, and special discount tickets on selected collectibles. As a special incentive for those accompanying you, the Panthans are pleased to offer each registrant additional banquet tickets for family/guests who do not wish to attend the events. Please make your room reservations DIRECTLY with our headquarters hotel, Doubletree Hotel and Executive Meeting Center.
They can be reached at (301)468-1100. Mention the "Panthans ECOF" in order to receive our special rate.

Click here to view the ECOF Schedule

  REGISTRATION:

Name(s) ______________________________________________________

Address ______________________________________________________

City/State/ZIP _________________________________________________

Telephone _________________

E-mail _______________________________________

Arrival Day/Time ______________________________

Registration Fee of $80.00 per person is enclosed:......................... $______

Additional banquet ticket(s) at $35.00 is(are) enclosed................... $______

ADDITIONAL INFORMATION:

I am a paid-up Burroughs Bibliophiles member ____yes ____no

My ERB-List persona is _____________________________________________

I would like to reserve a Huckster Room table ________

I have artwork to display (not for sale) _____

Description:__________________________________________________

I have artwork for sale ____________

Description:__________________________________________________

I have an item(s) for the Benefit Auction _____

Description:__________________________________________________

Please PRINT out this form, FILL it out, INCLUDE your check
payable to John Tyner, Treasurer, and MAIL the form to:

National Capital Panthans
P.O. Box 673
Rockville, MD 20848-0673

If you should have any questions, e-mail tyner@taliesan.com or call John Tyner at
(301) 468-2146.