2020 WPA COLLECTORS' NIGHT HOST COMMITTEE

To join WPA Collectors' Night 2020 host committee, fill out and submit the form below.

If you experience any problems with this secure form or have any questions about joining the Host Committee, please contact Peter Nesbet, at pnesbett@wpadc.org, or 202.234.7103 x0
Contact Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number (Day)*

Area CodePhone Number
Phone Number (Evening)

Area CodePhone Number
E-mail*

Please select number of tickets*

4 Tickets — Early Bird Pricing —$1,000

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

ALMOST DONE...

Note that all purchases are final and tickets are non-refundable. Your registration will not be complete until you have received an automated "Thank You" message and a detailed email confirmation of your purchase.
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