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Barn Dance Historical Society, P.O. Box 68 Wingham , ON N0G 2W0
Pre-Registration for the 15th Annual Jamboree/Campout Weekend
May 24, 25, 26 and 27th, 2012
Blyth & District Community Complex and Campgrounds,
377 Gypsy Lane, Blyth, Ontario
Name(s)………………………………………………………………………………………
Address…………………………………………………City/Town……………………………………….
Postal Code………………………….. Telephone Number [……….]…………………
RV License Plate#…………………………………. Membership #(s)……………………………………..
# of Persons in Party . _______
Camping on Thursday _____Friday _____Saturday _____ Sunday ______.
I would like to volunteer as a helper (2 hours) ______.
Non Members - Register prior to Thursday, May 17th for the following rates:
| Admission to all Events & Camp Site Included | 1 Non Member |
2 Non Members |
TOTAL |
Sat Night Camping & Show |
$49.00 |
$73.00 |
|
Camping 2 Nights & Events |
$80.00 |
$110.00 |
|
Camping 3 Nights & Events |
$105.00 |
$135.00 |
|
Camping 4 Nights & Events |
$127.00 |
$157.00 |
|
* Extra Arm Bands |
Number _______ |
@ $30.00 each |
|
TOTAL Paid Prior to May 17th |
MEMBERS ONLY - Must have a current membership card and number shown above or pay membership fee below. Register prior to Thursday, May 17th for the following rates:
| Admission to all Events & Camp Site Included | 1 Member |
2 Members |
TOTAL |
Sat Night Camping & Show |
$43.00 |
$64.00 |
|
2 Nights Stay |
$65.00 |
$86.00 |
|
3 Nights Stay |
$87.00 |
$108.00 |
|
4 Nights Stay |
$107.00 |
$128.00 |
|
Extra Arm Bands* For |
Members – Number_____ |
@ $23.00 each |
|
Extra Arm Bands* For Non |
Members – Number_____ |
@ $30.00 each |
|
Sub - total
|
|||
Membership Fee(for 1 year) |
If not previously paid |
Single $25; Dual $40 |
|
TOTAL Paid Prior to May 17th |
1. Prices include HST (13%). 2. Continental Breakfast on Saturday Morning by donation. 3. * Extra arm bands for admission to all events available at time of registration ONLY. Members must show Membership Number for each Extra Armband(s).
Make cheques payable to “Barn Dance Historical Society”; Box 68, Wingham, ON N0G 2W0
Cancellation Policy: We will refund your money if you cancel prior to May 17th, less a $20 admin fee.
No Post Dated Cheques, Returned cheque Fee - $25.00;
Friday Evening Event - Arm bands at Door - $6.00 - Saturday Afternoon Event - $6.00 - Saturday Evening Show / Dance Tickets at Door - $25.00
& BLYTH LIONS CLUB
SATURDAY EVENING DINNER AND SUNDAY MORNING BREAKFAST TICKETS
CHEQUES PAYABLE TO “ BLYTH LIONS”
Saturday, May 26th – 4:30PM – 6:30PM – Dinner Tickets (Buffet style, Ham/Beef, includes desserts (pies) and coffe/tea)
Number of Dinner Tickets_____________________ @ $15.00 each $______________
Sunday, May 27th – 7:30AM – 9:30AM - Breakfast (eggs, sausage, hash browns, pancakes, toast and coffee)
Number of Breakfast Tickets_________________ @ $6.00 each $______________
Discount rate for both events – Dinner & Breakfast
Number of Tickets__________________@ $20.00 each $______________
*(includes 1 Dinner & 1 Breakfast ticket)
Name________________________________________________________________
Address______________________________________________________________
City/Town_____________________________________Postal Code______________
Note: ADVANCE TICKETS ONLY. These are sell out events – Book your tickets early. Enclose your cheque with your Barn Dance Registration.
Your tickets will be issued with your registration.
Note: If you make your cheque payable to the Barn Dance Historical Society
for both the Jamboree Registration and the Lions Club meals, your registration
and cheque will be returned to you for replacement registration and chques.