Cincinnati Area Mensa

Registration 2002
Home Up Registration 2002 Staff 2002 Hotel 2002 Programs 2002

Don't forget - meals are included

The Deal: 

$50 if RECEIVED by Oct. 31, 2002
          $55 if received by Dec. 5, 2002

$65 at the door

Registrar: E-mail questions to Andy Badger (Include "Mensa" or "RG" in Subject)

Print out the form below and mail it with your check to:
   Andy Badger, 9177 Peachblossom Court, Cincinnati, Ohio 45231

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Name(s) ____________________________________________________________

Address ____________________________________________________________

City, State and ZIP Code _______________________________________________

Phone _____________________ Check #:_____________Amount:____________

Email address _______________________________________________________

Name you'd like on your nametag ________________________________________

Last Updated: March 25, 2004
Designer: Paulette Wilson
Copyright © 2000 - 2002 Cincinnati Area Mensa. The Mensa logo is a registered trademark of International Mensa, Ltd., and American Mensa, Ltd., all rights reserved.  Mensa does not hold any opinion or have, or express, any political or religious  views.