2022 Convention Online Registration Name(Required) First Last Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone(Required)Email(Required) Enter Email Confirm Email Number of Attendees(Required) 1 ($175.00) 2 ($350.0) Member #1(Required) First Last Member #2(Required) First Last Meals(Required)If you eat vegetarian, vegan, keto, etc., let us know so we can work with the Chef to make appropriate meal choices. I am fine with regular meals I have dietary restrictions What are your dietary restrictions?(Required)Displays(Required)If you are planning to set up a display, please indicate how much space you will need. Full Table 1/2 Table 1/4 Table I'm only bringing a favorite piece for Best Single Piece category I don't have any items to display Swap & Shop(Required)Will you be participating in the Swap & Shop by selling glass from your room? Yes No Unsure at this time Optional Motor Coach Trip(Required)Greentown, Albany Glass, and Dunkirk Museums (must be received with registration) None One Person ($69.00) Two People ($138.00) Mound Cold War Discovery Center(Required)Museum Tour with Dr. Robert Bowman (FREE - Transportation on your own) One Person Two People Not attending Are you going to purchase a Convention Piece?(Required) Yes, for attendees Yes, for non-attendees No Convention Attendee Piece(Required) One Attendee ($45.00) Two Attendees ($90.00) Non-Attendee Piece(Required) One Attendee ($55.00) Two Attendees ($110.00) VGCI Membership Renewal(Required) Single Membership ($25.00) Single + Spouse ($30.00) Corporate Membership ($25.00) Junior Member (under 18) (FREE) I am not renewing my membership at this time. Tax-Deductible Donation (optional) Total Registration Amount Due Payment Method*Credit CardPayPal Checkout American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Δ
