This document is a registration form for the spouse or partner of a participant in the 13th World Deaf Magician Festival being held from May 23-30, 2010 in Cattolica, Italy. It requests basic contact information as well as date of birth, email, and whether the spouse/partner will attend. There are different registration fees depending on whether the spouse wants to maintain their membership in the Society of World Deaf Magicians without attending or if they will attend the festival. The completed form must be sent to the chairperson Andrea Truffa before March 1, 2010.
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1. 13th World Deaf Magician Festival- Cattolica, Italy
23 - 30 May 2010
Final Registration/ Entry Form for Spouse / Partner
PLEASE PRINT:
Surname/ First Name: __________________________________________________________________
Family Name:_________________________________________________________________________
Address: _____________________________________________________________________________
City: _________________________________ State/Province: __________________________________
Postal Number: ______________________ Country: _____________________________
Date of Birth: __________________________
E-Mail address: _________________________________ FAX: _______________________
Please check:
( ) Junior (Age 7 to 17) ( ) Adult (Age 18 to 54) ( ) Merlin (Over Age 55)
Spouse / Partner participates:
( ) I will not attend but I want to maintain my membership of the Society of World Deaf Magician
for 2010 to 2012……………………………………………………………….…US $35.00
( ) I will attend ............................................……………………………………… UE € 350.00
• I wish to take part of the 13th World Deaf Magicians Festival in Cattolica, Italy and accept the conditions
of participation.
Signature: ________________________________________ Date: _____________________________
Please Make and send a copy of this form to Andrea Truffa, Chairperson/President.
BEFORE 1 MARCH 2010, NO LATER THAN THIS DATE, PLEASE:
E- Mail to magicandrew@alice.it or Fax to +39 0722 330921 or Postal Mail to the
Chairperson/ President 13th WDMF Organizing Committee:
Andrea Truffa
Via Ada Negri, 6
I - 61033 Fermignano (PU)
