G2003 Registration Form
Please print this page, then fill in the blanks, specifying your name/email as you'd like it to appear on your nametag. Then mail it to the Finance Minister:
Shannon Kelley
20000 NE Jaquith Road
Newberg, OR 97132-6694
You can make the checks out to "GPNDG". The larger campsites will be reserved for anyone bringing an RV or trailer. Thanks!
| Gatheree #1 |
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Email: _____________________________ Vegetarian?: Yes No Vehicle type: ______________________ Expected arrival: Thu Fri Sat Emergency Contact: (____) ____________ Contact's name: ________________________
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| Gatheree #2 |
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Email: _____________________________ Vegetarian?: Yes No Vehicle type: ______________________ Expected arrival: Thu Fri Sat Emergency Contact: (____) ____________ Contact's name: ________________________
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| I will be paying with: | PayPal:
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Check Enclosed:
_____
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