Clan Application

Each Space includes 2 Admissions and One Pin.

Each Package includes 2 admissions two Reception tickets, and two pins.

Clan Name

Clan Representative

Address

City, State, Zip

Phone

Email

Clan Website

10 x 10 Space @ $30

One
Two
Three
Four

10 x10 Tent & Space @ $100

One
Two
three
Four

Clan Package @ $150

One
Two
Three
Four

Extra Tickets @ $5

Extra Dinner Tickets @ $25

Pay By Check

Yes
No

Pay By Paypal

Yes
no

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