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