Winter Camp 2007 Registration form

WINTER CAMP LITE RESERVATION FORM


Name: _________________________________________________________________

Name: _________________________________________________________________

Name: _________________________________________________________________

Name: _________________________________________________________________


Mailing Address: ______________________________________________________

.                ______________________________________________________

Email Address: ________________________________________________________

Phone or Contact: _____________________________________________________

Dates Needed:


January: ______________________________________________________________

February: _____________________________________________________________

Others: _______________________________________________________________

Rooms


Number of Weeks: ____ x $230 =                    ___________

Additional People: ____ x Number of weeks: ____ = ___________

Camping


# of People ____ x # of Weeks ____ x $50 =        ___________

.                                 TOTAL COST  _______________

Deposit Due (see below):       _______________

Due 1 Week Before Arrival:     _______________


Please send two weeks (or 1/2 the amount) deposit in advance which is non-refundable to:

     Cathy Dumond
     RR 2 Box 4079
     Pahoa, HI 96778

The balance to be paid one week prior to arrival to confirm reservation. Please note there is limited space available - reservations will be held at 4 rooms total plus 4 outdoor camping spaces.