Attendee Registration Form

2022 Fall Show Attendee Registration Form

Sunday, Monday, Tuesday, September 18, 19, 20, Hotel Murano, Tacoma, WA
PNBA will comply with any state mandated COVID protocols in force at the time of the show.
Company Name *
Your Name *

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Your E-mail *
Current PNBA members can have up to FOUR badges at no additional charge.

BINC badges are REQUIRED if you wish to receive autographed books.

If you would like to have a Personal Pronoun on your badge, please add it in parenthesis following your name.
Badge Type *
1. Badge Name
Email
example@example.com
BINC Donation Stamp
2. Badge Name
Email
example@example.com
BINC Donation Stamp
3. Badge Name
Email
example@example.com
BINC Donation Stamp
4. Badge Name
Email
example@example.com
BINC Donation Stamp
______________________________________________________________________________________

If more than four people will be attending the show, add their names here. These badges are $10 each. If any of them desire BINC badges, they can be purchased at Registration at the show.
Extra Badge Names with email addresses ($10 each)
Must have an email contact for each badge name.
Total Extra Badges
IF your membership is NOT current, you can bring it up to date here.
2022 Membership
If you are not a current member, show badges are $100 each.
Non-Member Badge
ALL EVENT MEAL TICKETS MUST BE PURCHASED IN ADVANCE OF THE EVENT

Detailed menu descriptions can be found on our website.
Sunday Event Tickets

_______________________________________________________________________________________
Brunch Ciabatta (B-M-25)
Brunch Ciabatta (B-V-25)
Dinner at the Kids Table (KT-S-40)
Dinner at the Kid's Table (KT-C-40)
Dinner at the Kid's Table (KT-R-40)
Monday Event Tickets

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Authors on Map Grab & Go Breakfast (GG-15)
Show Floor Box Lunch (BL-M-25)
Show Floor Box Lunch (BL-V-25)
Signature Dish (SD-M-50)
Signature Dish (SD-C-50)
Signature Dish (SD-V-50)
Tuesday Event Tickets

_______________________________________________________________________________________
Authors Breakfast (AOE-M-30)
Author Breakfast (AOE-V-30)
Education Day Lunch (ED-S-10)
Education Day Lunch (ED-C-10)
Education Day Lunch (ED-Q-10)
Comments:
Registration Total
All checks should be made out to PNBA and mailed to:

Pacific NW Booksellers Assoc.

520 West 13th Ave.

Eugene, OR 97401
Should be Empty:

2022 Fall Show Attendee Registration Form