Registration Form

Pez on the River 13th Annual Pez Convention!

September 10-11-12, 2026 Please fill out one registration form per person
Name*

First NameLast Name
Preferred Name
(for Name badge, if different from First Name)
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
Phone Number*
Format: (000) 000-0000.
Hot dogsBratsNo preferenceNot attending
My Products*
prevnext( X )
Member (required field)
Please select your registration type (Attendee or Absentee)

$55.00
Item subtotal:$0.00



Dealer Table
Select how many dealer tables, if applicable. Additional tables are $35.00/each.

$45.00 Quantity
Item subtotal:$0.00



T-Shirt Style
     (V-neck= +$4.00)

$ Free Select T-shirt Style
Item subtotal:$0.00



T-shirt size
(Sizes of 2X, 3X, 4X add $4; XT shirts add additional $4)

$ Free Size
Item subtotal:$0.00



Total

$0.00
Payments can be made through PayPal to:

Pezontheriver@gmail.com

or a check can be sent to:

Pez on the River

W28292 State Road 54-35

Trempealeau, WI 54661
How will you be making payment? (NOTE: Checking this does not make payment)
Please verify that you are Pezhead :)*
Should be Empty:

Pez on the River 13th Annual Pez Convention!