Camper Registration Form for
Pennsylvania State Singing Convention
at Landisville, PA

--------------- PRINT AND MAIL THIS REGISTRATION FORM IMMEDIATELY -----------------
*PRE-REGISTRATION OF CAMPERS ASSURES SPEEDY "CHECK-IN" WHEN
ARRIVING AT THE PARK!

SEND EARLY CAMPER REGISTRATIONS AND FEES TO:
Vicksburg Quartet
394 Rt. 36 South
Duncansville, Pa. 16635
Phone or Fax: (814) 695-9356

PRINT, TEAR OFF AND RETURN NOW!! - 2007 CAMPER REGISTRATION FORM

Name _______________________________________________________________________

Address _____________________________________________________________________

______ NUMBER OF CAMPING SITES NEEDED AT $16.00 PER SITE/PER NITE
(NO ELECTRICITY)

______ NUMBER OF CAMPING SITES NEEDED AT $18.00 PER SITE/PER NITE
(WITH ELECTRICITY)
(Is this a Handicapped situation needing electric?______) - Handicapped reserved first.


______ I WILL PAY UPON ARRIVAL.

ENCLOSED IS MY FEE FOR $________

_______ NUMBER OF NIGHTS YOU WILL BE WITH US:   THURS.    FRI.   SAT.   SUN.   (PLEASE CIRCLE)

(*NO RECEIPT WILL BE SENT - WE'LL KEEP GOOD RECORDS OF YOUR PAYMENT!)
(Checks Payable to: Vicksburg Quartet)