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June 12, 13 & 14, 2009
Held at the
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*** Registration Form ***
for discount & free T-shirt. Questions about REGISTRATION or DIRECTIONS? Go to www.triumphcomehome.com or Call 804/730-7724 (7 PM - 10 PM EST) Register with Check |
Jason Seward |
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Name: ___________________________________ E-Mail: _________________________________________ Business Name (for vendors): ______________________________________________________________ Address: __________________________________________________________________________________ City, State & Zip: ___________________________________ Telephone: _________________________ Will you be: Vending? Y/N Camping? Y/N Camp Sites required ______ x $45*/site = $____________ Enclosed {Payable to: J. Seward} * 2 paid admissions with each site; After June 1st - $65/site T-shirt Size? S M L XL XXL (CIRCLE ONE) (free if registration is received by June 1st) |