Are you a member of MBNA?
Nickname for Badge
Please check all that apply:
President of State/Provincial Association
Joined MBNA in 2012
1st Time JAM Attendee
If Retailer, please enter years in the industry:
If you’re a NON-EXHIBITOR please fill out the section below:
Full Convention Pass
If you play to attend the Trolley Tours, please enter the amount of tickets requested below:
Adult Tickets Requested ($27):
Children (3 and older) Tickets Requested ($14):
Children (under 3) Tickets Requested (FREE):
All registrations include admission to all vendor display hours, all MB University Educational Programs, and all scheduled meal and social functions.
Credit Card Type:
Credit Card Number:
Name on Card:
CHANGES, CANCELLATIONS, AND REVISIONS IN CONVENTION REGISTRATION
Please notify the MBNA office promptly to make any changes in your convention registration by calling (800) 233-4472 or email
Cancellations for full refund must be received by MBNA in writing no later than January 31, 2012. Cancellations received after January 31, 2012 must be in writing and will subject to a $50 cancellation fee. There will be no refunds for cancellations received after February 22, 2012 or for “no shows”. All registrations are transferrable.