Banjo Camp North - Fall Edition Online Registration Form 2010

Banjo Camp North Fall Edition - Registration Form
September 24. 25, & 26, 2010
Fill in the form on-screen, then choose "File - Print" and mail it in with payment to:
Banjo Camp North, PO Box 1755, Orleans, MA 02653
If registering for more than one person, please submit a separate form for each individual.
(Returnees -- you may fill in just your name and any information that has changed.)

First Name:	Last Name:	Date:
Address:
City:	State:	Zip:
Country:	Phone:	Cell Phone:
Email:	Name on badge:
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Playing Level: Novice: cannot play at all, or just a little, but not with others. Beginner: play some tunes, basic chords, & chord changes. Intermediate: play tunes, recognize changes, play with others slowly. Advanced: play tunes up-to-speed, want to improve playing in groups.	Interests? Bluegrass Old Time Fiddle Mandolin
Special requests Vegetarian Women's cabin Couple's cabin Quiet cabin (no playing 10pm-8am)
How did you hear about BCN? Free T-shirt size? (S-4x)
Payment Options Tuition, room, & board in full: Notice! You must bring your own blanket and linens, or a sleeping bag plus pillow and towel. The campsite does not privide them.. Registration fee includes late charge for those posted after Sept 1, 2010. Single room accomodation, $525. (Includes private room & 6 meals). Resident registration, $425. (Includes shared room & 6 meals). Commuter registration, $375 . (Includes 6 meals). Staying where? Deposit, $100. (Non-refundable.) Resident, non-playing spouse/partner, $325. (Includes shared room & 6 meals). Optional - Thurs night lodging, $75/person. Meals start Friday supper. Optional - extra BCN T-shirt, $20. Size(s). Optional - color photo of staff and attendees, $25 Day rates: Friday only, $150 includes supper but no accommodations. Saturday only, $250 includes 3 meals but no accommodations. Sunday only, $200 includes breakfast & lunch but no accommodations.
Total amount: Payment type: Check enclosed Mastercard Visa Name as it appears on credit card: Credit card number: - - - Exp. Date The first $100 of the registration is a processing fee and is not refundable. . No refunds after September 1^st. Some partial work/study scholarships available.