Metal Boat Society
Festival 2011 Registration

Moorage is included for Thurs, Fri, and Sat evenings with paid registration

Attendee Registration: Date _________________

Last name_________________________________  First name____________________________ 

Spouse/Partner________________________________

Street Address____________________________________________________________________

City_________________________________ State/Prov._________  Postal Code______________ 

Country____________

Email__________________________________________ 

Phone__________________________________________

My metal boat name is __________________________________ Length: ____________

FESTIVAL Payment information:

____ $95 USD; Metal Boat Society member registration for single, couple or family.

____ $125 USD; Non-member registration for single, couple or family.

____ $20 / person USD; Friday Catered Dinner and Speaker for _______ seats needed.

____ I need moorage for my boat from ________________ thru __________________ nights

(When registration is complete then followup with Tom Purdy for moorage details
at tpurdy@mail.com, or 360 410 7031)

____ Check or money order enclosed.

Credit Card: MasterCard ____ Visa ____ American Express ____ Amount _______________

Card No: ________________________________________________ Exp date:_________________

Authorized Signature:________________________________________________________________