WEST VIRGINIA JEDICON REGISTRATION - SATURDAY, OCTOBER 9, 2010
(Hit your browser's BACK button to return to the West Virginia JediCon main page)
A portion of your admission and table cost goes to the Children's Miracle Network!
We will also be holding a charity auction as a part of JediCon, also to support CMN.
Want to learn more about CMN? Then visit their website at www.childrensmiraclenetwork.org !

Name: ____________________________________________________________________

Business Name: ____________________________________________________________

Address:__________________________________________________________________

City: ____________________________ State: _____________ Zip Code: _____________

Phone: _______________________________________________________

E-mail address: _________________________________________________

West Virginia JediCon ADULT Admission (includes admission to all JediCon activities & museum for one person)

   $8.00 each X ______ (# of adults)            =$____________

Names (for nametags): ______________________________________________________________

West Virginia JediCon CHILD Admission - ages 10 and under (includes admission to all JediCon activities & museum for one child)

   $2.00 each X _____ (# of children)            =$____________

Names(for nametags): ______________________________________________________________

West Virginia JediCon Dealer with ONE table (includes admission to all JediCon activities & museum for you plus one 6 foot table for the JediCon)

   $15.00 each                                                = $____________

Additional Tables (additional 6 foot tables for the JediCon)     

  $10.00/6 ft. table x ___________ ( # tables) =$____________

TOTAL DUE (Please send payment w/ form!) =  $ ______________________

Make all checks payable to THE EIBEL CORPORATION and send to:
Kruger Street Toy & Train Museum
144 Kruger Street
Wheeling, WV 26003

OR

Register / Pay Now with our Paypal option:

Below are Paypal shopping cart buttons allowing you to register onlineand pay through PayPal. Please note that you do not need to be a Paypal user to pay with a credit card through Paypal. When you checkout, you will be brought to a screen asking for credit card information or a Paypal login. Do whatever is appropriate, and please read everything carefully!

Choose either Attendee Only or Dealer/Attendee Option, Click Add to Cart. If you want additional dealer tables, just Continue Shopping
and then select the additional tables wanted and Add to Cart.

Please be sure to include your phone number, in case we need to contact you,
and list the names of attending adults and children (so that we can have your nametags ready); simply type this information into the "Add instructions to Seller" box on the form.

Please do not select "no shipping needed" when you check out! Leave your address selected (shipping will automatically plug in as zero) so that we
have it on file in case we have to contact you!

Attendee Only:
West Virginia JediCon 2010 ADULT Admission, NO table - $8.00
(includes admission to all JediCon activities & museum for one person)
Please be sure to include your phone number,in case we need to contact you.
Attendee Only:
West Virginia JediCon 2010 CHILD Admission, NO table - $2.00
(includes admission to all JediCon activities & museum for one person)
Please be sure to include your phone number,in case we need to contact you.
Dealer Registration:
West Virginia JediCon 2010 Admission with ONE table - $15.00
(includes admission to all JediCon activities & museum for one person, plus ONE six foot table)
Please be sure to include your phone number,in case we need to contact you.
     Additional Dealer Tables - $10.00 each (6 Foot Table):