Pre Registration Form                                                   

55th Annual Coastal Bend Jamboree -    …”

January 30, 31 - Feb 1, 2009

Please print and mail this form before December 31, 2008

 

 

Name 

Name

 

Address

City/State/Zip

Phone # (if Volunteering)

 

 

 

 

 

Badge Name                                                     (circle one)                       AA             Al-Anon

 

 

Badge Name                                                     (circle one)                       AA              Al-Anon    

 

 

PRE-REGISTRATION 

(per person)  through 12/31/08

 Registration at the door $25.00

$ / person

 

 

$20.00

# Attending

 

 

 

Total

 

 

 $

Saturday Brunch

$25.00

 

 $

Saturday Night Dance

$ 5.00

 

 $

Scholarship Donation

 

 

 $

 

TOTAL INCLUDED

 

 

 $

 _______  Check here if you would like an opportunity to serve as a Jamboree Volunteer and please include your phone #

Please Print this Page

Make Checks Payable & Mail to:

Coastal Bend Jamboree

P. O. Box 60664

Corpus Christi, TX  78466                                                                                                   Home Page