ROPEX 2005, 130 Trafalgar St, Rochester, NY 14619-1224  Email: aprill@rochester.rr.com

ROPEX 2005 is being held June 10-12 at the Webster Community Field House, Webster, NY. By 
submitting this form, you are agreeing to the rules found in the ROPEX prospectus, especially
section 15. Fill out this form and print a copy. AOL users can not send it electronically,
but should send the printed form with payment and title page/synopsis to the address above.

Name:       (as it will appear in the program)
Address:   
City:        State/Prov:   Zip: 
Country:     Email: 
Day Phone:   Evening Phone: 
I plan to:  attend ROPEX  mail my exhibit/send with agent
Check if you are interested in:  Hotel information  Banquet tickets

Exhibit Title: 
Exhibit Description (25 words or less):

Number of Frames (max. 10):    Check if you are a first time national exhibitor: 

Exhibit Class (select one):
  Adult General/multi-frame ($8/frame)  Youth under 21 single/multi-frame ($5/frame)
  Adult Single Frame ($15/frame)
Exhibit Division (select one): 
  Charity/Promotion/Cinderella  Illustrated Mail  Revenue  Non-Competitive
  Display                       Postal            Thematic

Method of Exhibit Delivery:
  In Person  By Agent   or USPS Mail by:  Priority  Express
Method of Exhibit Return (exhibitor is responsible for pre-payment if mailed):
  In Person  By Agent              (note- we can not re-mail by registered mail)
   or USPS Mail by:  Priority  Express  and  Certified  Insured for $ 

Membership in other Philatelic Organizations (check all that apply):
  AAPE  AFDCS  APS  ATA  ESPHS  PHS  RPA  UPSS  USSS (BIA)
Other Memberships:  

Comments, questions, or additional notes:


Click here before pressing the "SEND" button telling us to expect your form! Then click
the "SEND" button in lieu of a signature as acceptance of the terms and conditions. Expect
a response in 2-3 days. Otherwise email stamptmf@frontiernet.net explaining your interest.

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