Echoes In Time
                            Registration

                        (Please Print Clearly)

   Name ___________________________________________ Date ____________
   
Address _____________________________________________________________

   City ____________________ State/Province ________ Zip ____________


Phone (______) ___________________  Email ___________________________


Arrival Date _____________________

Where did you hear about Echoes in Time? ____________________________

I have attended Echoes in:  00  01  02  03  04  05  06  07  08 09

Number of Persons Attending:

                       Adults: ___________ x $128 = _________________

                Children 6-13: ___________ x $64  = _________________

         Children 5 and under: ___________

       Total number of people: ___________    Total $________________

(day rate: $32 for adults, $16 for children 6-13)
		
Tent ________     RV or Trailer ________ (no hook-ups available)

Total number of vehicles ________