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Men's Dunes Bible Camp 2010 Registration Form
PERSONAL / MEDICAL INFORMATION

Name _____________________________________________________________________________

Address ___________________________________________ City ____________________________

State ______________ ZIP ____________________________

Phone _____________________________________________________________________________

Church ____________________________________________________________________________

Bunking with _______________________________________________________________________

_____ RV hook-up

Special diet or other needs _____________________________________________________________

I’m interested in (check one): _____ Golfing _____ Skeet Shooting _____ Trout Fishing

Cost is:

_____ $80.00 if postmarked by April 10

_____ $90.00 if sent in after April 10

_____ $95.00 at the door(please phone 24 hours before if you want meals)

Payment:

Check # ___________________________________________________________________________

Visa or MCard # _____________________________ Expiration Date __________________________

Name on card _______________________________________________________________________

Mail registration form and payment to:
Dunes Bible Camp
23515 Pacific Way
Ocean Park, WA 98640

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Updated TS 3-10-2010