Registration Form
August 10, 11 and 12, 2012
Fayetteville, North Carolina
WE NEED TO KNOW HOW MANY IS ATTENDING SO WE CAN PLAN , THIS IS WHY THE DEAD LINE FOR DUES IS 1 MARCH 20120 ( NO EXCEPTIONS)
ALL OTHER MONEY MUST BE PAID BY JUNE 1 2012 ( NO EXCEPTIONS)
Name_____________________________________________________________________
Address_____________________________________________________________________
Phone_________________________________Email________________________________
MEMBERSHIP DUES (MUST BE PAID BY 1 MARCH 2012)
Adults $50.00 per person number paying for: ______
Children 16-20 $25.00 number paying for: _______
Children 4-15 $10.00 number paying for: ________
NAMES YOU ARE PAYING DUES FOR
______________________________________ ______________________________________
______________________________________ _______________________________________
______________________________________ ________________________________________
BANQUET DINNER: NORTH CAROLINA STYLE (Mark the number of dinners needed by the number paying for)
II. BANQUET DINNER: NORTH CAROLINA BUFFET STYLE
1. Ages 19 & older $30.00 2. Ages 12-18 $15.00 3. Ages 7-11 $7.50 4. Ages 6 & under Free
1. Ages 19 & older _______
2. Ages 12-18 _______
3. Ages 7- 11 _______
4. Ages 6 & under _______
PLEASE MARK THE NUMBER OF T-SHIRT (s) BY SIZE
All T-SHIRTS are : $10.00
CHILDREN
TODDLER 4T 6-8 NUMBER OF SHIRTS____________
YOUTH SMALL 8-10 NUMBER OF SHIRTS____________
YOUTH MEDIUM 10-12 NUMBER OF SHIRTS____________
YOUTH LARGE 14-16 NUMBER OF SHIRTS____________
ADULTS
SMALL NUMBER OF SHIRTS____________
MEDIUM NUMBER OF SHIRTS____________
LARGE NUMBER OF SHIRTS____________
2XL NUMBER OF SHIRTS____________
3XL NUMBER OF SHIRTS____________
August 10, 11 and 12, 2012
Fayetteville, North Carolina
WE NEED TO KNOW HOW MANY IS ATTENDING SO WE CAN PLAN , THIS IS WHY THE DEAD LINE FOR DUES IS 1 MARCH 20120 ( NO EXCEPTIONS)
ALL OTHER MONEY MUST BE PAID BY JUNE 1 2012 ( NO EXCEPTIONS)
Name_____________________________________________________________________
Address_____________________________________________________________________
Phone_________________________________Email________________________________
MEMBERSHIP DUES (MUST BE PAID BY 1 MARCH 2012)
Adults $50.00 per person number paying for: ______
Children 16-20 $25.00 number paying for: _______
Children 4-15 $10.00 number paying for: ________
NAMES YOU ARE PAYING DUES FOR
______________________________________ ______________________________________
______________________________________ _______________________________________
______________________________________ ________________________________________
BANQUET DINNER: NORTH CAROLINA STYLE (Mark the number of dinners needed by the number paying for)
II. BANQUET DINNER: NORTH CAROLINA BUFFET STYLE
1. Ages 19 & older $30.00 2. Ages 12-18 $15.00 3. Ages 7-11 $7.50 4. Ages 6 & under Free
1. Ages 19 & older _______
2. Ages 12-18 _______
3. Ages 7- 11 _______
4. Ages 6 & under _______
PLEASE MARK THE NUMBER OF T-SHIRT (s) BY SIZE
All T-SHIRTS are : $10.00
CHILDREN
TODDLER 4T 6-8 NUMBER OF SHIRTS____________
YOUTH SMALL 8-10 NUMBER OF SHIRTS____________
YOUTH MEDIUM 10-12 NUMBER OF SHIRTS____________
YOUTH LARGE 14-16 NUMBER OF SHIRTS____________
ADULTS
SMALL NUMBER OF SHIRTS____________
MEDIUM NUMBER OF SHIRTS____________
LARGE NUMBER OF SHIRTS____________
2XL NUMBER OF SHIRTS____________
3XL NUMBER OF SHIRTS____________