BUCKEYE DULCIMER FESTIVAL REGISTRATION FORM 2012 DEADLINE: 2 / 15 / 2012
Please check your choice for the Extended session:
Mountain Dulcimer Hammered Dulcimer
____Beginner ____Beginner ____Autoharp (Intermediate & Above)
____Past Beginner ____Past Beginner
____Intermediate I ____Intermediate I ____“Band-It!”
____Intermediate II ____Intermediate II
____Advanced ____Advanced
_____ Extended Pkg #1 (Wed-Sun)
Includes 11 meals, 4 nights lodging, 10 hr. instruction, Sat. sessions, & concerts @ $280.00
_____ Extended Commuter Pkg #2 (Wed-Sun)
Includes 11 meals, 10 hr. instruction, Sat. sessions & concerts, no lodging @ $170.00
_____ Weekend Pkg #3 (Fri-Sun)
Includes 5 meals, 2 nights lodging, Fri. night events, Sat. sessions & concerts @ $170.00
_____ Weekend Commuter Pkg #4 (Fri-Sun)
Includes 5 meals, Fri. night events, Sat. sessions & concerts, no lodging @ $140.00
_____ Saturday Only @ $ 65.00
Includes 2 meals, sessions & concert
In the last several years we have found ourselves being asked to
make special adjustments to our package prices. Due to current
policy changes we are unable to make any special exceptions.
Thanks for your understanding and we hope you will still be able to
attend the Buckeye Dulcimer Festival.
Name ____________________________________________
Address __________________________________________
City/St/Zip ___________________________________________
Phone ( )_________ _____ E-mail: _________________________________
**You may include me in the Participant Directory ___yes ___no
EXTRA TICKETS
_____CONCERT TICKETS @ $10.00 = ___________
INDIVIDUAL MEALS:
_____Breakfast (Sat. Only) @ $ 6.00 = ___________
_____Lunch (Sat. Only) @ $ 7.00 = ___________
_____Dinner (Fri. / Sat.) @ $ 8.00 = ___________
_____Sunday Brunch @ $ 8.00 = ___________
2012 T-Shirt (Circle size desired) ___ @ $15 ( S M L XL ) ___ @ $18 ( 2XL, 3XL )
Sweatshirt (Circle size desired) ___ @ $20 ( S M L XL ) ___ @ $23 ( 2XL, 3XL )
Total Registration
Fee
$ ___________
Extra Tickets $ ___________
Extra Meals $ ___________
Total Shirt Order $ ___________
TOTAL COST
$ ___________
AMOUNT ENCLOSED (25% Due with Registration) $
MAKE
CHECK PAYABLE TO: RECREATION UNLIMITED
Send to: Joyce Harrison, 4848 Johns Road, Houston, OH 45333