CP Mensa Solstice RG 2018 Registration Form
Name for badge
Local Mensa Group
Mensa Title (if you have one)
Additional people included in this registration (Please give full name and name on badge)
Full Mailing Address
Amount paid (Please send payment through PayPal to
or send a check made out to Central Penn Mensa to Joy Lederman (her address is on the Solstice website page)).
A copy of your responses will be emailed to the address you provided.
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