ALPCA Silver State Convention Registration

March 28 - 31, 2012

Your Information

Name
Telephone
Address
Email
City
State
Country
Zip

I will be staying at the Palace Station Hotel and Casino and have registered by the March 3 deadline.

My T-Shirt Size is: M L XL XXL XXXL

Are you a member?

For potential new members only sign up for either a
Single Day Pass @ $15.00 or a Multi-Day Pass @ $20.00

ALPCA #

Your Guests

If you are bringing any guests, please fill in their information below.

Name	City	Laminated Name Tag ($4.00 extra)	Cost
			Free
			$15.00
			$15.00

Special Requests

I have a special request regarding table location.

Award Competition

I plan on bringing a display of license plates to compete for an award.

Roy Carson Memorial Best of Show (1 award)
Best Single Plate (1 award)
Best Passenger Run
Best Non-Passenger Run
Best Foreign Display
People's Choice (1 award)
Best Topical Display
Long Distance (North America and Overseas)

Souvenir Plates

SEQUENTIALLY NUMBERED PASSENGER - I would like to order one or more sequentially numbered souvenir plates, numbered from 10 through 150 ($18 ea.). Shipping charges of $8 will apply for each order unless picked up at the registration desk during the convention. Numbers 1 - 9 will be reserved for the auction.

Duplicate numbers will no longer be issued.

Plate 1	Plate 2	Plate 3	Plate 4

PERSONALIZED PASSENGER - I would like to order one or more personalized souvenir plates ($22 ea.) including any numbered or combination of letters and numbers (not to exceed 5 characters) including numbers above 150. Shipping charges of $8 will apply for each order unless picked up at the registration desk during the convention.

Plate 1	Plate 2	Plate 3	Plate 4

SEQUENTIALLY NUMBERED MOTORCYCLE - I would like to order one or more sequentially numbered souvenir motorcycle plates, numbered from 10 through 75 ($18 each). Shipping charges of $8 will apply for each order unless picked up at the registration desk during the convention. Numbers 1 - 9 will be reserved for the auction.

Duplicate numbers will no longer be issued.

Plate 1	Plate 2	Plate 3	Plate 4

NOTE: Souvenir plate numbers 1 - 9 for sequentially numbered passenger and motorcycle plates are now reserved for the auction ONLY. Duplicate numbers will no longer be issued for any number 150 or lower. Order your plates now to ensure you receive the specific number you wish. Orders will be processed on a first come first serve basis from the date of the postmark on your order.

Deadline to order plates is Saturday, March 3, 2012.

Shipping

I plan on attending the convention and will pick up my plates.

Table Reservations, Slot Tournament and Buffet Tickets

Table(s)

(6' X 30") at ALPCA Member rate @ $25.00

* Slot Tournament

8:00 pm at the Palace Station Hotel & Casino @ $5.00
Cash prizes for 1st, 2nd and 3rd place finish

* Feast Buffet Tickets

@ $9.00

I won't be attending. @ $8.00 ($15.00 international) shipping.

Donations

I regret I cannot attend the convention this year but I would like to donate to ensure the success of your meet this year. (With a donation of $20 or more you will receive a special Thank You plate from the Silver State Region).

Total Cost
$0.00

Refund Policy

Full details on our cancellation and refund policy can be found here.

Thank you for filling out the registration form.

Fabulous Flyer

Download Fabulous Flyer for Full Info and Mail In Registration

Other Western Meets

IMPORTANT! ALPCA Meets and most other meets listed are not open to the general public. Please contact the organizer of each meet listed for their policy on admittance of non-members.

Visit our Western Meets Page

Nevada Plate Project

It is an idea brought forward that we think worth pursuing. The Silver State region would like to have on our website, a chronological listing and photograph of each Nevada plate ever issued. This would be valuable from both a historical and a collectors perspective and make a great addition to our website.

Click here for more information on contributing and view the plates currently archived.