1. Please print this form
  2. Fill out
  3. Cut on dotted line
  4. Mail to address listed below with payment.

      Please Print Clearly              

PRE-REGISTRATION FORM

(Last Day for Pre-Registration is April 8, 2008)

NAME              

MEDALS & CREDIT  $9.00

CREDIT ONLY $3.00

SUBTOTAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 Address _______________________________________________________________________________________

 City________________________________

  State__________________________   Zip _____________________________

  Date __________________________   Signature _______________________________________________________________________________

 email address, Print:____________________________________________________________________________________________________  

M/C or Visa Charge Number:                        -                        -                       -                          Expiration date:                                       

 Signature:  ________________________________________________________________________________________________

  MAIL TO : P.O. BOX 192 * Helen, GA. * 30545                                                   MAKE CHECKS PAYABLE TO : VOLKSMARCH