NWChapter’s Oregon Dunes Registration Form 2006

August 3^rd – 6^th

Name:__________________________________________________________________

Address:________________________________________________________________

Phone:__________________________________________________________________

Email Address:__________________________________________________________

Number Attending: _______________________

Arrival date/day: – please circle date & day below.

August 3^rd - Thursday afternoon

August 4th – Friday morning – afternoon - evening

August 5^th - Saturday morning (early)

Saturday’s BBQ Diner:

BBQ diner is $10.00 per person

Number of diners___________ at $10.00 ea.

Total cost for diner(s) $_______________

ALL monies collected for the BBQ diner goes directly to the Chef and his crew. NO money goes towards the clubs expenditures or bank account.

Event registration fee:  $8.00 per family

                  Total check amount, for event registration and BBQ, $___________

Please make check out to; American Jeepster Club

Print and mail form, along with registration fee to: AJC, POB 653, Lincoln, CA 95648-0653
Contact: Jim Serr…Ph. 916-645-8761…. Email jeepsterjim@psyber.com 

NOTE: All donation, raffle, and registration monies go directly to pay for this event and to promote next years events....A expenditure/ financial web page will show all expenses.