REGISTRATION FORM
Name_____________________________________________________________________
Address___________________________________________________________________
_______________________________ Zip Code___________________________________
Phone #________________________ e-Mail Address_____________________________
PRICE: $225.00
Downpayment: $50.00 to reserve your spot only - Balance by April 1st, 2010
Make checks payable to: Kathi Godber
7464 Sleepy Hollow Drive
West Chester, Ohio 45069
I will perform at the Hafla (maximum 5 minutes) Yes_____ No______
Soloist name________________________________________________
Troupe name________________________________________________
Roommate request:__________________________________________
Vegeterian Meal: Yes_______ No______
SORRY, no refunds unless you fill your spot or we are sold out!
