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Total Number of Guests you are registering _______
Amount to be paid per guest (please check one)
___$100 (with bus service) ____ $65 (no bus service)
Please fill out separate forms if levels of fees differ on guests below.
Name of Guest
__________________________________________________
Give this persons address, email, etc, information below.
Additional Guest
_________________________________________
If child give age ____
Additional Guest
_________________________________________
If child give age ____
Additional Guest
_________________________________________
If child give age ____
Additional Guest
_________________________________________
If child give age ____
Additional Guest
_________________________________________
If child give age ____
Address
_________________________________________________________________
City _______________________________
State/Province _________________________
Country ________________________________
Postal Code ___________________
Telephone (Daytime) ___________________________
Fax ____________________
E-mail:
_____________________________________________________
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