Mail-in Badge Order Form

25th Annual West Coast Ragtime Festival

Noon Friday, Nov. 18 to 5:00 PM Sunday, Nov. 20, 2011
At the Red Lion Hotel, 1401 Arden Way, Sacramento, CA

Badge Type No. Price Total Price
Print this form:
Make checks payable to WCRS and mail to:

West Coast Ragtime Society
PO Box 13346
Sacramento CA 95813-3346

For queries & information call:
(916) 457-3324 or
click here to email a request for Festival Information.

Stay updated at our web site:
www.WestCoastRagtime.com

Confirmation receipt will be mailed promptly. Pick up your badges at the Registration Table  at the Festival.

Refunds requested for Festival Badge cancellations must be in writing and postmarked no later than Nov. 1, 2004. A $10.00 handling charge will be applied. Refund requests postmarked after Nov. 1, 2005 will be issued as vouchers valid for the following year's West Coast Ragtime Festival.

Credit card purchases may be made by phone. Call 9 AM to 9 PM (PDT):
1-415-924-6834 or toll-free 1-866-724-9277
Visa and MasterCard only.
To order badges using PayPal, click here.

Print this form:

All-Event Badge
(Until 11/1/2011*)
____ $90.00

$________   

All-Event Badge
(after 11/1/2011)
____ $95.00

$________   

Friday Only
 Badge
____ $40.00

$________   

Saturday Only
 Badge
____ $50.00

$________   

Sunday Only
 Badge
____ $30.00

$________   

Friday & Saturday
 Badge (New)
____ $75.00

$________   

Saturday & Sunday
 Badge (New)
____ $70.00

$________   

* Cutoff dates are by postmark.
Total Enclosed:

$________   

Fill in one name per badge ordered. PLEASE PRINT.

Name 1:________________________________
Name 2:________________________________
Name 3:________________________________
Name 4:________________________________

Address:________________________________

City:____________________________________

State/Province:_____________ ZIP:________

Phone(s):_______________________________

Email Address:___________________________

Yes
No
I want to receive special announcements and updates by email.
Yes
No
I want to be on the WCRS newsletter mailing list (regular Postal Service mailings). Available to WCRS members only. See the Contact Us page, Memberships for info.