RegistrationWORD.doc  · Web viewOR Paypal to: w1rex@megalink.net. Separate camping registration:...

<<<<<<<<<< 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: w1rex@megalink.netSeparate 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