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Camping for a Cause
Online Registration

Please fill out the form below to submit your registration for Camping for a Cause 2008.
Registration deadline August 31, 2008.


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Contact Information
Title:
First Name:
Last Name:
Suffix:
Company Name:
Address 1:
Address 2:
City:
State:
Zip:
Country:
Day Phone: ( ) -
Evening/Cell Phone: ( ) -
E-mail Address:
 
Billing Information
If your billing address is the same as above, check this box. If your billing information is not the same as above, please enter it below:
Title:
First Name:
Last Name:
Suffix:
Billing Address 1:
Billing Address 2:
City:
State:
Zip:
Country:
 
Sponsorship Levels
Pampered Camper
(Friday night only)
 Dinner Sponsor
Sunrise Sponsor
Cabin Sponsor
Tenderfoot
Happy Camper
Day Tripper		 $3,000
$1,800
$195/person (min. 8, max. 10)
$250
$195
$100
 
TOTAL AMOUNT Please enter total amount to be charged:
Direct my gift to:
   
Special Requests

Roommates

 

 For sleeping accomodations, we try to keep friends and groups together. Please check the "Roommates" box on the left, and list the name(s) of your preferred roommate(s) below:
 
 
Dietary needs
 To notify us about any special dietary needs, please check the "Dietary needs" box on the left, and list your needs below:
 
Payment Information
Credit Card Type:

Credit Card Number:
3 or 4-digit Credit Card Security Code:
Expiration Date:
Name on Credit Card:
 

Click on the Submit button when the form is complete.  Your credit card will be processed within 1 business day.

Registration confirmation and driving directions will be sent to you via e-mail no later than one week prior to the event.


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