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Barn Dance Historical Society, P.O. Box 68 Wingham , ON N0G 2W0
Pre-Registration for the 13th Annual Jamboree/Campout Weekend
May 27, 28, 29 and 30th, 2010
Blyth Campgrounds and Arena, 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 Friday, May 15th for the following rates:
| Admission to all Events & Camp Site Included | 1 Non Member |
2 Non Members |
TOTAL |
1 Night Stay |
$49.00 |
$76.00 |
|
2 Nights Stay |
$71.00 |
$98.00 |
|
3 Nights Stay |
$93.00 |
$120.00 |
|
4 Nights Stay |
$114.00 |
$141.00 |
|
** Extra Arm Bands |
Number _______ |
@ $27.00 each |
|
TOTAL Paid Prior to May 20th |
MEMBERS ONLY - Must have a current membership card and number shown above or pay membership fee below. Register prior to Thursday, May 20th for the following rates:
| Admission to all Events & Camp Site Included | 1 Member |
2 Members |
TOTAL |
1 Night Stay |
$38.00 |
$57.00 |
|
2 Nights Stay |
$57.00 |
$76.00 |
|
3 Nights Stay |
$76.00 |
$95.00 |
|
4 Nights Stay |
$94.00 |
$113.00 |
|
Extra Arm Bands For |
Members – Number_____ |
@ $22.00 each |
|
Extra Arm Bands For Non |
Members – Number_____ |
@ $27.00 each |
|
Sub - total
|
|||
Membership Fee(for 1 year) |
If not previously paid |
Single $25; Dual $40 |
|
TOTAL Paid Prior to May 20th |
1. Prices include GST. 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 20th, less a $20 admin fee.
No Post Dated Cheques, Returned cheque Fee - $25.00;
Friday Evening Event - Arm bands at Door - $5.00; 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 29th – 4:30PM – 6:30PM – Dinner Tickets
Number of Dinner Tickets_____________________ @ $14.00 each $______________
Sunday, May 30th – 7:30AM – 9:30AM - Breakfast (eggs, sausage, hash browns, pancakes, toast and coffee)
Number of Breakfast Tickets_________________ @ $6.50 each $______________
Discount rate for both events – Dinner & Breakfast
Number of Tickets__________________@ $18.00 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. 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.