Exhibit Entry Form
Please print out the Entry Form and mail it with a check to:
Larry Fillion, 130 Arlington Street, Acton, MA, 01720, United States

Or fill out the Entry Form Below (Prospectus Rules/Regulations) and you can pay by Paypal.
Name:
Street Address:
City:
State:
Zip Code:
Country:
Phone:
Email Address:
Age (If Youth):

This exhibit(s) is my property in its entirety
I will personally deliver my exhibit(s)
I will personally pick up my exhibit(s)
I will attend the Awards Banquet

Indicate the class in which this exhibit is being entered. Open Exhibition Youth Single Frame

Adult single-frame exhibit at $30.00
$
Adult multi-frame exhibit at $15.00 per frame (# of frames)
$
Non-competitive (Invited) exhibit (no charge) (# of frames)
$
Youth exhibit at $5.00 per frame. (# of frames)
$
Return postage (method)   
Return postage (expected amount) (rounded)
$
Banquet Tickets at $45.00 per person: (# of tickets)
$
Paypal Fee:
$
Total Remittance:
$

Title of Exhibit:
Description (20 words or less):
Number of exhibit pages
Page size exclusive of hinge " X "
I have read, understand, and will comply with all rules and regulations for exhibiting at Philatelic Show. I understand that no addresses will be listed in the program.
You have my permission to list my name
Or list me anonymously as

I, the undersigned, understand that I will be responsible for insuring my exhibit; and I will not hold Philatelic Show, Northeastern Federation of Stamp Clubs, Inc., the Boxboro Regency or their officers, members, or employees responsible for loss of or damage to this exhibit. By clicking "Submit Entry", you are agreeing to these terms.
Verification Word (to stop the spammers)



*The next page will have a link to make a payment through PayPal.