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ESCAPE TO
THE WOODS, 2005 REGISTRATION FORM-
Clip,Copy,and Mail
NAME (S):
___________________________________________________________
____________________________________________________________
ADDRESS:
____________________________________________________________
_____________________________________________
ZIP: _________
PHONE ( _____)
_____________________ E-Mail:
____________________
NUMBER OF CABIN CAMPERS TOTAL CABIN
$5.00/PERSON
FRIDAY
SATURDAY CAMPERS PER NIGHT
__________ + __________ =
__________ X $5.00 = $__________.______
NUMBER OF TENT CAMPERS TOTAL TENT $3.00/PERSON
FRIDAY
SATURDAY CAMPERS PER NIGHT
__________ + __________ =
__________ X $3.00 = $__________.______
SATURDAY COOKOUT TOTAL
PORK STEAK __________ X $9.00 =
$__________.______
VEGETARIAN __________ X $7.00 = $_
_________.______
Children under 10_________X$6.00 =
$__________.______
GRAND TOTAL = $___________.______
Send Payment To: Sierra Club, 223
Market Street, Alton, IL 62002
Phone (Voice) (618) 462-6802 Phone
(FAX) (618) 462-0282
ppg_sc@yahoo.com E-mail.
We will send you a map and additional
information upon request
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