Early Registration is recommended.  

Online Registration below. 

(You will need to send in your payment via the mail or pay at the desk when you arrive.)

Check in at the Registration desk; we'll have your call on file.

Full Convention  (Convention, Prizes, & Banquet):

$55 Prepaid,  $60 at door

Convention Only  (Convention only & Prizes):

$30 Prepaid, $35 at door

Guest   (Banquet Only):

$30 Prepaid, $35 at door

 

Name:
Call:
Address Line 1:
Address Line 2:
City, State Zip:
Email address:
Phone Number:
May we contact you?	Yes No
Registration Type	Full Convention Day Program Only Guest   Full Convention includes chance at all Prizes and Banquet. Day Program includes Main Prizes chance (do not need to be present to win). Guest includes Banquest only, no chance at any Prizes.
Meal Selection	Beef Chicken Fish   Includes: Soup du Jour, Salad, Two Side Dishes, Coffee, and Dessert
Please enter any special requirements:
Image Verification Please enter the text from the image   [ Refresh Image ] [ What's This? ]

After submitting this online form,

Send a check payable to "W9DXCC" to:

W9DXCC Registration Chairman, Jack Ekstrom, K9JE, 203 Juniper Drive, North Aurora, IL 60542