UPCA - United Pipe Clubs of America for Pipe Smoking and Pipe Collecting enthusiasts

Registration for the 2009 National Pipe Smoking Contest

Your seat in the contest cannot be guaranteed until the registration fee is received by UPCA.

Cancellation Policy: Contestants may receive a refund of their registration fee ONLY IF a cancellation is received prior to April 17, 2009. Registrations may be transferred.

Make checks payable and mail to:

David Bull, UPCA Treasurer
10417 Mayapple Court
Noblesville, IN 46060

** All contestants submitting payment prior to April 17, 2009 will receive a sample of the contest tobacco. **
All samples will be sent by US Mail.

Registration
Instructions

Online Registration Form

If you do not belong to a Pipe Club, please enter "None" in that field below.

There are three options for registering for the contest.

1. Complete and Submit the online registration form to the right, then click on the PayPal Payments button to make payment electronically.

The amount you are paying must be entered on the shopping cart form. The correct amounts are:

$ 35 for UPCA/CIPC members
$ 40 for Non-members

2. Complete and Submit the online registration form to the right, then mail your check to the address above to arrive by April 24, 2009.

3. Click the Printable Page button below, complete the printed form and mail it with your check to the address above.

*First Name:
*Last Name:
*Address:
*City:
*State:
*Postal Code:
*Country:
*Telephone:
*E-mail:
Fax:
*Pipe Club Member:	Yes No
*Club Name:
*Payment:	Mailing Payment Paying with PayPal

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