<<<<<<<<<< LOBSTERCON2015! REGISTRATION FORM >>>>>>>>>>DATE: ___________ Scheduled dates are: July 10, 11 & 12 2015CALL: ____________ # 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 = $_____Separate 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 www.ThomasPointBeach.com or Toll Free 1-877-TPB-4321 Make checks or money orders out to Rex Harper Total = $________
And mail to QRPme PO Box 160 Limerick, Maine 04048OR Paypal to: [email protected]
