Registration

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ConGlomeration memberships are $30 per person until April 1 and $40 thereafter and at the door. Children under five years of age are not required to have memberships. All requests for membership must include the following information for each person registering. PLEASE print or type all information.

-- Full Real Name: (Required for records)
-- Alternate Name: (Optional)
-- Address: (Include city, state, and zip)
-- Phone Number: (Optional)
-- E-mail Address: (Optional)


Click here for a downloadable registration form.

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Please allow a minimum of two weeks for registration and check processing. Send information with your check or money order to the following address:

ConGlomeration
Attn: Registration
P.O. Box 32095
Louisville, KY 40232-2095


Contact Mark Kantlehner and Polly West, Registration Co-Chairs.

www.conglomeration.org