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2016 Fantasy Camp Registration

All fields marked with an asterisk (*) are required for your submission.

January 19 - 24, 2016

* First Name * Last Name
Company Name Contact's Name
* Address Address 2
* City * State
* Zip Code  
* Day Phone * Evening Phone
Mobile Phone
Enter your mobile phone information to receive text messages & updates from and (Optional, if checked, 'Mobile Phone' must be provided). Msg&Data Rates may Apply. Reply "Stop" to cancel. Text "Help" or email for assistance. Expect 1-2 messages per week.
* Birth Date
* E-mail Address
  I would like to receive commercial e-mails from and

* Please select one option.

* *
* *
* *

  Yes     No

Check this box to specify a different shipping address (if unchecked, your Billing Information will be used).

* Name on Credit Card * Credit Card Number
* Credit Card Expiration
* Credit Card Type
Amount to Charge
The sales tax ultimately charged to your credit card will be calculated when your credit card charge is authorized and will reflect applicable state and local taxes. Your billing confirmation email will include the final amount of sales tax charged.
A $1,000 non-refundable deposit is required to hold your spot. There is an additional $50 convenience fee.
By submitting I acknowledge that I have read, understand and agree to be bound by
the Website Terms of Use and Privacy Policy.