GPNDG 2004 Registration Form

Please fill in the form(s), specifying your name/email as you'd like it to appear on your nametag, then print this page and mail it to the Finance Minister:

You can make the checks out to "GPNDG". Thanks!

Note: there is a simple version of this form if, for some reason, your browser won't print it correctly...

Gatheree #1
Name:
Email:
Vegetarian?:
Vehicle type:
Expected arrival:
Emergency Contact:
(phone # w/area code)		 ()  
Contact's name:


Gatheree #2
Name:
Email:
Vegetarian?:
Vehicle type:
Expected arrival:
Emergency Contact:
(phone # w/area code)		 ()  
Contact's name:

I will be paying with: PayPal: Check Enclosed: