NAME Day Registration

To register for the QC NAME Day event, fill in the form below and click submit. Registration is open from June 8 through June 15. You will receive a paypal invoice once your registration is processed. PLEASE ALLOW 48 HOURS FOR PROCESSING! This is the only confirmation that you will receive. If the form will not work for you, please send an email to team@quarterconnection.com with the information below using the subject line “NAME DAY Registration”

QC can only accept payments by Paypal. QC cannot accept credit cards directly but you can use your credit card to pay the Paypal invoice.

Only one display box per person. If you are not purchasing the display box from QC, you can still use the registration form to sign up for the swap.

All registrations will be checked to confirm current NAME membership and current QC membership.

Name

Email Address

Paypal Email Address (if different)

Shipping Address

Telephone Number

NAME Member ID

I want the display box, priced at $22 plus $20 shipping. I understand I have to purchase the display box before I can purchase any of the add-ons below.

Yes No

Acrylic Sheet,$7 (may only purchase one)

Yes No

Lighting Kit, $10 (may only purchase one)

Yes No

Acrylic Tables, Set of 4, $9. Please enter quantity needed (maximum of 3 sets/person.)

Wooden Tables, Set of 5, $9. Please enter quantity needed (maximum of 3 sets/person.)

Sign me up for the Swap! I understand I'll be invoiced for $5 shipping now and it's up to me to remember that I signed up when the swaps are due. I won't be reimbursed for swap shipping if I forget that I signed up.

Yes No