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CampOUT 2010
July 14th thru the 18th
Registration
Please submit one form per person attending.
You can copy and paste this form into an Email!!

Legal Name_________________________________________________________________________________
          Last                                                           First

   Name_________________________________________________________________________________

Address_______________________________________________________________________________
             Street

             ________________________________________________________________________________
              City                                                            State                    Zip

Email Address_______________________________________________________________________________

(     ) Any Two Days, $75.00

Volunteer (     ) $75.00 2 hrs, (     ) $50.00 4hrs

(     ) Presenter Registration. If paying amount enclosed/paid through paypal_________

              AMOUNT ENCLOSED
Make Money Orders, and Cashiers Checks payable to: La Fraternité du Loup-Garou

              AMOUNT PAID VIA PAYPAL--LAGAROU@HOTMAIL.COM
If paying via PayPal you still need to submit a registration form

Mail to: La Fraternité du Loup-Garou, PO Box 140713, Toledo, OH 43614

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