1995 New Zealand Juggling Association Convention Registration

4 days
(entire convention)    ____ adult(s) @ $45      ____ under 16's @ $30
Friday                 ____ adult(s) @ $20      ____ under 16's @ $15
Saturday               ____ adult(s) @ $30      ____ under 16's @ $20
Sunday                 ____ adult(s) @ $30      ____ under 16's @ $20
Monday                 ____ adult(s) @ $15      ____ under 16's @ $10
	All prices include entry to show on the day.

Please register me for the 1995 New Zealand Juggling Association Convention.
I enclose a cheque payable to "NZJA Convention" for NZ$ ________.


Name(s) __________

Address ____________

___________________

__________________  Phone: ______________

Please return Registration form to:

NZJA Convention
PO Box 13-614 Johnsonville
Wellington, NEW ZEALAND
fax (+64-4) 479 3586