Registration Form

Magic on The Beach
Registration

You may tab between the fields
Magician ($125)
Spouse ($125)
Additional Adult ($125)
Additional Adult ($125)
Please remember a Junior is 17 or under
Junior 1 ($125)
Junior 2 ($125)
Junior 3 ($125)
Junior 4 ($125)

Address
City
State
Zip
Day Phone
Evening Phone
Fax
E-Mail

Tickets for the Saturday evening show are included with your registration. Will you need additional ones for friends and/or relatives?
Additional Saturday Tickets ($25)



Please send us any additional comments, special needs or disabilities, etc. in the space below. You will need to keep your comments to under 500 words.

Before proceeding and clicking on "Submit", it is imperative that you let us know whether you are paying us by mailing a check or by using your credit card. You will be taken to the pay-at page once you submit.
I will pay by check	I will pay by credit card

International Brotherhood of Magicians
Syd Bergson Ring
Ring 45, Miami, Florida