SEAM 2002 Registration Form

Magician: Name:___________________________						Magician: $89 Non-Magician: $69 Non-Magician registrations must be accompanied by a Magician registration. Make check payable to: Georgia Magic Club Mail to: Paul Sponaugle Attn: SEAM 2002 335 Farm Path Roswell, GA 30075-4221 Or fax to: 1-928-752-8170 VISA M/C Check (circle one) Credit card Registrations should call 1-888-411-5984 after mailing or faxing form. Ask for Paul and mention the SEAM 2002 Convention

Non-Magicians:
Name:___________________________
Name:___________________________
Name:___________________________
Name:___________________________

Phone:
______________________________

Email:
______________@___________._____

Address:
______________________________
______________________________
______________________________

Are you interested in competing? [ ] Close-Up Competition [ ] Stage Competition Note: There will be a small entry-fee for the contests with $250* in prizes to be awarded in each contest.*

Let us know if you... [ ] plan on booking a room at the Crowne Plaza.
[ ] are a member of IBM Ring _____.
[ ] are a member of SAM Assembly _____.