BaseballCON Online Registration Form

1.	Completely fill out the “Registration Form.”
2.	If paying by credit card, please complete the credit card section of this form.
3.	Payment is due according to the deadlines listed below.
4.	If paying by check or money order, mail or fax “Registration Form” with payment. Fax number and mailing address listed below.
5.	All attendees must stay at one of our host hotels unless you reside less than 50 miles from Louisville. Submit “Hotel Form” form with payment (if applicable).

	College Coach
	High School Coach
	Middle School Coach
	League Administrator/Rep
	Other:

	Travel/Competitive Coach
	Rec/Youth Coach
	Athlete Parent

Name:
Address:
City:
State:
Zip:

Organization:
E-mail Address:
Cell Phone:
Alternate Phone:

Visa

MasterCard

Discover

Credit Card #:	CVV:
	Exp. Date: (mm/yyyy)
	Amount To Be Charged: $
Cardholder's Name:
Cardholder’s Phone Number:
Cardholder’s Address:
Cardholder’s City:
Cardholder’s State:
Cardholder’s Zip:
	Cardholder’s Initials

A 3% administrative fee will be added to all transactions. This fee will be waived if using cash, check or money order. I understand that by signing this form, the 3% administrative fee will be included in my total.

50% of registration will be refunded if cancelled on or before January 4, 2012. No refunds will be issued after this date.

DEADLINES

COACH/ADULT
1 Attendees	2+ Attendees

Until 11/30/11

$44.00/pp

$39.00/pp

12/1/11 - 1/1/12

$54.00/pp

$49.00/pp

After 1/1/12

$69.00/pp

$64.00/pp

Make all checks payable to: JAM Brands Sports

Fee: $ x # of Coach/Adult Attendees	= $
TOTAL

Attendee Names

If you have more than 20 attendees please fill out another form.