
ECOF REGISTRATION August 5-8, 1999 Your registration fee of $55.00 includes events at the three-day ECOF, T-shirt, banquet ticket, 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 Dum-Dum events. Please make your room reservations DIRECTLY with our headquarters hotel, Holiday Inn-Gaithersburg. They can be reached at (301) 948-8900. Mention the Panthans in order to receive our special rate.
	REGISTRATION: Name(s) ______________________________________ Address _____________________________________ City/State/ZIP ________________________________ Telephone _________________ E-mail _______________________________________ Arrival Day/Time ______________________________ Registration Fee of $55.00 per person is enclosed:......................... $______ Additional banquet ticket(s) at $25.00 is(are) enclosed................... $______ T-shirt size: S ___ M ___ L ___ XL ___ XXL ___ ADDITIONAL INFORMATION: I am a paid-up Burroughs Bibliophiles (BB) 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 BB Benefit Auction _____ Description:__________________________________________________ I have an item(s) for the Panthans 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.