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We'll see you at the Midwest Audiofest July 13th, 2013!

Please complete the form to submit your entry. Your registration must be received by July 1st.

First Name:
Last Name:
E-mail:
Address:
City:
State:
ZIP:
Phone Number:
Number of Spots:
NOTICE! A $10 fee is required to participate. All proceeds will go to the American Cancer Society. This must be paid upon arrival at the event. Cash Only By checking this box, I agree to the $10 participation fee.

Don't wait! Registration ends on July 1st!