SEAM 2005

SouthEastern Association of Magicians Convention
Hosted by IBM Ring 194 - Space City Magic Club

REGISTRATION FORM (click on "File, Print" then fill out this paper form and send via US Postal mail (see below) or email  the below info to registration@seam2005.info)

Name _________________________________________________
Street Address __________________________________________
City ________________________________ State ______________
Phone (______) _____________________
Email __________________________________________________

Names of all registrants for badges:
First Name_____________________ Last Name _________________________
First Name_____________________ Last Name _________________________
First Name_____________________ Last Name _________________________
First Name_____________________ Last Name _________________________
First Name_____________________ Last Name _________________________

Early Registration must be postmarked by June 30.  Add $5 per person for registrations after June 30, 2005.

Magician @ $80 each $________
Spouse or Youth (age 12-17) @ $40 each                              $________
Child (age 5-11) @ $15 each $________
                                            Total (payable to Space City Magic Club) $________

Mail registrations to: SEAM Registration, c/o Keith Harris, 105 Jenni Leigh, Huntsville, AL  35806

Circle one:    Check       MoneyOrder     If Check, check number: ________________

Convention Location:  Tom Bevill Center, University of Alabama - Huntsville Campus
Call toll free (888)721-9428 for reservations and ask for SEAM group rate of $60 night.

See www.seam2005.info for more information.
Questions? Email chairman@seam2005.info
or call (256)721-1678