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CampOUT
July 9th thru the 12th, 2009 CE
Merchant Registration
Please submit ONLY ONE form per business, and submit a separate registration form for other individuals attending.

 

Name_________________________________________________________________________________
          Last                                                           First                               Trade Name or DBA

Address_______________________________________________________________________________
             Street

             ________________________________________________________________________________
              City                                                            State                    Zip

Email Address_______________________________________________________________________________

Dietary restrictions_______________________________________________________________________________

Merchandise or
services offered_________________________________________________________________________

_______-Full camp, arrive after 9:00am Thursday, leave Sunday
             If there will be two people at the vendor table it will be


_______-Weekend camp, arrive Friday, leave Sunday
             If there will be two people at the vendor table it will be

              AMOUNT ENCLOSED
Make Money Orders, and Cashiers Checks payable to: La Fraternité du Loup-Garou

              AMOUNT PAID VIA PAYPAL--LAGAROU@HOTMAIL.COM
If paying via PayPal you still need to submit a registration form

  Mail to: La Fraternité du Loup-Garou, PO Box 140713, Toledo, OH 43614

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