| Name |
|
| Street |
|
|
City/State/Zip |
|
| Phone |
|
| Home
Church |
|
| E-mail |
|
Lodging
(Select one) |
d
Cabin $90.25
Bring your own Bedding and Towels |
| |
d
Motel $95.25
Bring your own Towels |
| |
d
Camper Park $80.25 |
|
d
I'll arrange my own
Motel Off-Site $75.75 |
Amount Enclosed:
(A minimum, non-refundable deposit of $10 is required) |
Registration Deadline: September 8, 2008.
Include a $5 late fee after September 8. |
| Payment
Options: (select one) |
|
d
Check or money order
enclosed (made out to Sky Lodge Camp) |
d
Charge my Visa/ MC/
Discover
in the amount of:
$___________
Exp. Date___________ |
| Credit
card # |
|
Signature:______________________________________________ |
