Czechoslovakian Collectors Association
2014 Annual Convention
Featuring Austrian, Bohemian and Czechoslovakian Decorative Arts
Registration Form
Thursday, June 5 – Sunday, June 8, 2014
Garfield Suites Hotel
2 Garfield Place, Cincinnati, Ohio 45202 2800-367-2155
2 Garfield Place ,
Name(s) of Attendee(s)
(1)______(2)______
Street Address ______
City______State______Zip______Country______
Home Phone______Cell phone______Email______
Attendee Fees—All Rates Are Per Person
Register by May 16, 2014 to receive the Early Bird Rate (Must be postmarked by May 16)
**Early Bird Fee Before May 16 Deadline** **Fee After May16 Deadline**
Member Registration $150 x ____# of persons = $______$180 x ____ # of persons = $______
Non-member Registration $190 x ____# of persons = $______$210 x ____ # of persons = $______
*********Convention fee includes:*********
Seminars, Tours, Show, and Saturday Banquet.
For dinner reservations for your guest who is not registered for the convention:
Additional Riverboat Cruise Tickets $50 x ______# of persons = $ ______
Saturday Night Banquet $40 x ____# of persons = $______
Total Registration Fees & Additional Reservations Paid in Advance $______
REFUND POLICY: Cancellation of convention registration must be received by the CCA Treasurer prior to noon EDT on May 16 to receive a refund. Refund will be limited to 50% of the total registration fee paid.
There will be no refunds for cancellations after May 16.
CCA Membership dues must be paid prior to or at time of Convention registration.
(Payment/membership information included with Convention mailing. Return completed membership form with payment.)
____I am enclosing my membership dues for 3/1/14 – 2/28/15.
Please Check: New Member ____ Renewal ____ Single $40 ____ Dual (same address) $60 ____
Total Amount Enclosed (Check or Money Order payable to CCA) $ ______
Completed registration form & payment to: Questions regarding the Convention to:
Aggie Elwell, CCA Treasurer Dave Phelps
177 Homewilde Lane 5745 NW 92nd Ct
Northfield, VT 05663 Johnston, Iowa 50131
Phone: 802-485-7048 Phone: 515-975-7977
Email: Email:
CCA’s Website: www.czechcollectors.org