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DockDogs Eastern Regional Championships - Friday / Saturday Night Socials
DockDogs Eastern Regional Championships - Friday / Saturday Night Socials
http://www.wispresort.com/wisp/info/s.adventure-pass.aspx
__________________________________________________________________________________
Submit by Email
SPECIALEVENTSREGISTRATIONFORM
Print Form
Faxto(330)2414976orScan/Emailtodd_admin@dockdogs.com
OrClicktheSubmitButtontosendelectronically
Registrationclosesat12:00pmESTonWednesdayJune27,2012
FormmustbefilledoutCOMPLETELYinordertobeprocessed.Includeanemailaddresssothatyoucanreceiveyourconfirmation.
AnyformthatismissinginformationincludingpaymentinformationorROSTERNAMESwillnotbeprocessed.
NAME:________________________________________________________
EMAIL:_________________________________________________________
SPECIALEVENT
QUANTITY
FridayNightAdventurePark($25ea)Adults&Kids
SaturdayNightBBQ&DockDogsHasTalent($25ea) Adults &Kids
TOTALCOST
TotalCharges:__________________________
PAYMENTINFORMATION:PrepaymentisREQUIREDtoprocessyourRegistration.
CreditCardNo.:________________________________________________________________ExpiryDate:________/________
SecurityCode*_____________(*threedigitsonbackofcard)
BillingAddress:____________________________________________________________ZipCode_________________________
CardHoldersName:__________________________________________Signature:_____________________________________
Ifsendingelectronically,pleasetypenameinsignatureandcheckboxhere:
ROSTER:Pleaselistthenamesofthepeoplewhoplantoattendeachevent.
FRIDAYNIGHTADVENTUREPARK
SATURDAYNIGHTBBQ
NAME
NAME
Pleaseattachanothersheetifyouneedmorenames.
FOROFFICEUSEONLY
PROCESSING DATE:
INITIALS: