BADGE REGISTRATION

San Diego Thanksgiving Dixieland Jazz Festival

America's Finest City Dixieland Jazz Society
P.O. Box 880387
San Diego, CA 92168-0387
Telephone: (619) 297-5277

Enclosed is a check or money order made payable to AFCDJS
in payment for the following number of badges.
*Deduct $10 for each badge if you provide your Town & Country Confirmation Number _______________.
To qualify for the $10 discount, your Town & Country room reservations must be made by Oct. 31

No. of 5-Day All Event Badges (Wed-Sun) _______ @ $90 ea. Total $__________
No. of 4-Day Badges (Thur-Sun) _______ @ $85 ea. Total $__________
No. of 3-Day Badges (Fri-Sun) _______ @ $80 ea. Total $__________

I would like to join the Society. (Check one) Single $15 Couple $25

 

Amount of check or money order TOTAL $_________

Name __________________________________________________ Date __________

Address ____________________________________________________________________

City ________________________________ State _______________ Zip ___________