19th Annual International Pinball Extravaganza 2003
 October 16-19, 2003 Ramada O'Hare Rosemont, IL
Please print out this form, complete and mail to PINBALL EXPO Headquarters.
Print out and complete one form for each Attendee.
In order to pre-register and have your badge ready for you at the Pinball Expo Registration Desk,
this form must be mailed to arrive NO LATER THAN October 1, 2003.
After October 1, 2003, you must register on-site.

Name:______________________________________________ Age:______________
Company:_______________________________________Title:__________________
Address:______________________________________________________________
City:_________________________________ State:_________ Zip: ______________
Country of Residence:___________________________________________________
Email Address:_________________________________________________________
Phone(Day)_______________________ Phone (Evening)_______________________
Has your address changed in the last 12 months: (circle)     YES     NO                                  
What is your involvment in the coin-op industry?______________________________
___________________________________________________________________
What is your occupation?_______________________________________________
How did you hear about the Pinball Expo?
(Please Check)     Press......Magazine......Friend......Internet......Other......
Please list with addresses any other possible Pinball Expo Attendee(s)
______________________________________________________________________
______________________________________________________________________

THOSE REQUIRING EXHIBIT INFORMATION MAY WRITE OR CALL PINBALL EXPO HEADQUARTERS OR CALL EXHIBITS CHAIRMAN, MIKE PACAK AT 330-549-2596

_________ADVANCED ADMISSION PACKAGE (Without Banquet)@$90.00 EACH Includes all seminars, exhibit hall admission, Stern factory tour and 2 entries in Flip Out tournament. Banquet Not Included. (Advanced registration only. MUST be received by October 01)
_________ADVANCED ADMISSION PACKAGE (With Banquet)@$105.00 EACH Includes all seminars, exhibit hall admission, Stern factory tour and 2 entries in Flip Out tournament. (Advanced registration only. MUST be received by October 01)
_________POST REGISTRATION PACKAGE (Without Banquet)@$100.00 EACH Includes all seminars, exhibit hall admission, Stern factory tour and 2 entries in Flip Out. Banquet Not Included. (Received after October 01. Also available at door)
_________POST REGISTRATION PACKAGE (With Banquet)@$115.00 EACH Includes all seminars, exhibit hall admission, Stern factory tour and 2 entries in Flip Out. Banquet included. (Received after October 01. Also available at door)
_________ADDITIONAL FACTORY TOUR ONLY @$30.00 EACH
_________ADDITIONAL BANQUET TICKETS ONLY @$50.00 EACH
_________EXHIBIT HALL ADMISSION ONLY (4 DAY PASS)@$40.00 EACH
_________or EXHIBIT HALL ADMISSION ONLY (1 DAY PASS)@$12.00 EACH
_________SEMINARS ONLY @$30.00
_________TOTAL ENCLOSED (U.S. dollars drawn on U.S. banks, payable to Pinball Expo.)

*EXPO INFORMATION*

ACCOMMODATION: A block of rooms has been set aside at the Ramada O'Hare at special discount rates for Expo Attendees. You can make your reversation directly with the hotel by calling 847-827-5131 between the hours of 8.30-5.30C.S.T.. Identify yourself as attending Pinball Expo.
REGISTRATION: Early registration (before Oct 1) saves you money and is strongly encouraged. Your show admission badges plus additional EXPO information will be waiting for you when you check in. Registration at the door will cost $10.00 a day.
FLIP-OUT TOURNAMENT: FLIP-OUT entries will consist of the best score on two qualifying games on one of the tournament machines provided at the show. Additional FLIP-OUT Tournament entries cost $5.00 each. More information about FLIP-OUT will be included in your registration package.
AIRLINE: PINBALL EXPO: has arranged for a discount fare through United Airlines for all show attendees. For information about the discount call United Airlines at 1-800-521-4041 (7.00AM-12.00AM EST) You must provide the special Pinball Expo account number 516BG.
SHIPPING ARRANGEMENTS: A trucking company will be on hand in the event any attendees wish to have freight delivered anywhere in the U.S.. All the arrangements are to be between the attendee and the trucking firm, as PINBALL EXPO assumes no responsibility for any trucking arrangements.
CANCELLATIONS: In the event of cancellation, the registration fee will be refunded in full if written notice is received prior to Oct 5, 2003. After that date, no refunds will be made. For further information about PINBALL EXPO contact Expo Chairman Rob Berk at Expo Headquarters: 2671 Youngstown Road S.E. Warren Ohio 44484, 330-369-1192 or 1-800-323-FLIP, or Exhibits Chairman Mike Pacak at 330-549-2596. Our Fax Number is 330-369-6279

Mail this form with your check or money order to:
PINBALL EXPO **** 2671 YOUNGSTOWN ROAD S.E. **** WARREN OHIO 44484.
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