2008 REGISTRATION FORM

MAIL THIS REGISTRATION FORM IN NOW FOR A GREAT WEEKEND

WHEN:  May 16-18, 2008              WHERE:  Yellow
Springs, OH

REGISTRATION FEE:  $65.00   

PLEASE PRINT:            

Name:   __________________________________ Male  Female

Address: _____________________________________________

City/State/Zip_________________________________________
        
Phone _____________________  Email _____________________

Estimated time of arrival:   ________   (Arrive after 5:00 p.m.)

Please advise if you have food allergies or are a vegetarian ________________

   I would like to help make this a great weekend.  (Note which area:  DJ, morning group leader, opening, closing, afternoon or evening activity) _____________________________________________________________
_____________________________________________________________

To register, please print off this form, complete and mail to Sharon Spencer, 336 Birchwood Court, Vernon Hills, IL 60061, along with a check in the amount of $65.00 made payable to AMUUSE.

                       SEE YOU THERE!!