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National Clown & Character Registry


Register Your Clown Face With The
National Clown Character & Registry
Make it Official and Protect Yourself and
others against unnecessary worry!
To be a part of the National Registry, send:
  • 2 photos of Clown (face must be visible in 1" X1")
  • $18.95 plus $2.00 S&H
  • (optional) Send Extra Photo plus $5.00 for Bonus Photo I.D. Badge

OR

For I.D. Only (NOT listed in National Registry), send:
  • 1 clown photo (face must be visible in 1" X 1")
  • $10.95 plus $2.00 S&H
(I.D. Badge is an official registry I.D. but you will not be listed in the Registry)


Name
Clown Name
Email address
Street Address
City/State
Zip Code
Area code & phone number


(personal information, NOT clown information)

Date of Birth 
Eyes  Hair  Height 
Drivers License info: State:  Drivers License #:
Special Health Info: 
Emergency Contact:
Name
Phone



Send Check or Money Order to:

Clowntastics
PO Box 304
Tad, WV 2 5 2 0 1

(no cash please, U.S. funds only)

Have the National Clown and
Character Registry visit your alley,
group or convention!


Contact:

Call Tom E Boy
(304) 926-6408
or

Email Tom E Boy!
or

Snail Mail:

Tom King
PO Box 304
Tad, WV 2 5 2 0 1


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Contact:

Call Tom E Boy (304) 926-6408


Email Tom E Boy!

or
send Snail Mail:

Tom King
PO Box 304
Tad, WV 2 5 2 0 1

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All information © Tom King 2001- 2005