RegistrationWORD.doc  · Web viewOR Paypal to: [email protected]. Separate camping registration:...

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<<<<<<<<<< LOBSTERCON2018! REGISTRATION FORM >>>>>>>>>> DATE: ___________ Scheduled dates are: July 13, 14 & 15 2017 CALL: ____________ # IN PARTY: _____ NAME:________________________________ XYL & KIDS NAMES: ________________________ HOME ADDRESS1: ___________________________ ADDRESS2: ___________________________ TOWN/ STATE/ZIP: _________________________ TELEPHONE #: ______________________ CELL #: ______________________ EMAIL ADDRESS: ______________________ ARRIVAL DAY: ___________ ARRIVAL TIME: ___________ DEPARTURE DAY: ___________ DEPARTURE TIME: ___________ # ATTENDING NO HOST FRIDAY DINNER: _____ # ATTENDING BBQ LUNCH: _____ # ATTENDING LOBSTER DINNER: _____ # ATTENDING NO-HOST SUNDAY BREAKFAST: _____ ANY SPECIAL NOTES/INSTRUCTIONS/FOOD REQUESTS: _________ _________________________________________________________ ANY CONTRIBUTIONS IN PHYSICAL HELP OR ACTIVITIES: _______ _________________________________________________________ COMMENTS OR SUGGESTIONS: ______________________________________ _________________________________________________________ Fees: W1REX Registration: ___ people x $40.00/person = $_____ Make checks or USPS money orders out to Rex Harper And mail to QRPme PO Box 160 Limerick, Maine 04048 OR Paypal to: [email protected]

Transcript of RegistrationWORD.doc  · Web viewOR Paypal to: [email protected]. Separate camping registration:...

Page 1: RegistrationWORD.doc  · Web viewOR Paypal to: w1rex@megalink.net. Separate camping registration: contact Thomas Point Beach for camping reservations and payment.

<<<<<<<<<< LOBSTERCON2018! REGISTRATION FORM >>>>>>>>>>DATE: ___________ Scheduled dates are: July 13, 14 & 15 2017CALL: ____________ # IN PARTY: _____NAME:________________________________XYL & KIDS NAMES: ________________________HOME ADDRESS1: ___________________________ADDRESS2: ___________________________TOWN/ STATE/ZIP: _________________________ TELEPHONE #: ______________________ CELL #: ______________________EMAIL ADDRESS: ______________________ ARRIVAL DAY: ___________ ARRIVAL TIME: ___________ DEPARTURE DAY: ___________DEPARTURE TIME: ___________ # ATTENDING NO HOST FRIDAY DINNER: _____

# ATTENDING BBQ LUNCH: _____ # ATTENDING LOBSTER DINNER: _____

# ATTENDING NO-HOST SUNDAY BREAKFAST: _____ANY SPECIAL NOTES/INSTRUCTIONS/FOOD REQUESTS: __________________________________________________________________ANY CONTRIBUTIONS IN PHYSICAL HELP OR ACTIVITIES: ________________________________________________________________ COMMENTS OR SUGGESTIONS: _______________________________________________________________________________________________Fees: W1REX Registration: ___ people x $40.00/person = $_____

Make checks or USPS money orders out to Rex Harper And mail to QRPme PO Box 160 Limerick, Maine 04048

OR Paypal to: [email protected] camping registration: contact Thomas Point Beach for camping reservations and payment. Camping = $8 per night/person or $3.50 day pass available for non-campers Electricity=$5/day SEE TPB&C site...www.ThomasPointBeach.com or Toll Free 1-877-TPB-4321