CAM RG Registration

Ticket Type	Price	Spaces

Please provide the following information

First Name

Last Name

Name on Badge
list additional names under special instructions during checkout.

Address

Address 2

City

State

Country

Zip/Post Code

Phone

You may add special instructions to the PayPal checkout comment area.

For your security, this page is being served under SSL/TLS.

Your personal information is not transmissed to our server, or in the clear, during the registration process.

if you wish to pay by check, completely fill out this page and include a printed copy with your check to:

CAM Registration 
C/O Drew Wagers
6010 Meadow Spring Ct
Liberty Township, OH 45011

You may contact the registrar at: registration@cincymensa.org

Note: refunds may be subject to a $5 service fee.