| Midwest Camp of Instruction Registration Form |
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| Name ______________________________________________________ Address _____________________________________________________ ______________________________________________________ ______________________________________________________ Phone ________________________________ E-mail _________________________________ Unit ______________________________________ (If Applicable) Brief Description of Impression: _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ Registration Fee is $36.00 Make Registration Payable to Phil Campbell Registration is to be sent to: Phil Campbell 12253 Strang Line Rd., Apt 414 Olathe, KS 66062 Registration deadline is JULY 31st, 2003! ABSOLUTELY NO LATE REGISTRATION!! Any Questions or Comments can be addressed to: Jessica Underwood or Phil Campbell [email protected] [email protected] (417) 866-6528 |
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