2008 Koi and Goldfish Show
and Saturday Awards Banquet Registration

• Please provide the following contact information if applicable:

  Name
  Title
  Organization
  Street Address
  Address (cont.)
  City
  State/Province
  Zip/Postal Code
  Country
  Work Phone
  Home Phone
  FAX
  E-mail
  URL

• Please provide the following ordering information:

  QTY	DESCRIPTION
  	Koi Show Tanks.......................................$ 45 each
  	Goldfish Show Tanks - 10 gallon................$ 15 each
  	Saturday Night Banquet Ticket. before JAN 5... $ 25
  	Saturday Night Banquet Ticket Late Fee after JAN 5... $10
  	Additional Show Tank...............................$30 each
  	Dues...........................................................$20 a year
  	TOTAL TO BE SUBMITTED to Derek Tang

Send Check TO

Valley Of The Sun Koi Club

C/O Derek Tang

2331 W. Binner Drive

Chandler, AZ  85224

Or you may phone Derek at (480)-699-7586 or email derekmtang @ hotmail.com