Show Registration Form

                Name:
             Address:
                   City: 
                  State:
                Phone: 

 I'm bringinggame(s) to the show.  (Deadline for game registration is April 22,2001)
 

Please List the games you are bringing.
Game #1
Game #2
Game #3

       I'm bringing the above game(s) for the following day(s), check all that apply:
Friday Saturday Sunday Restoration Area

         Three day passes (advanced purchase only) # of Adult passes X $30.00= 
                                                                                    # of Kids passes X $15.00= 

Please make checks to:
FLIPPIN' OUT LTD
Mail checks to:
3991 Stecasso Ct
Whitehall PA 18052 
610-799-6810
         By submitting this form you are agreeing to the previous mentioned information   Click Here to return to Info.  The games you
         bring to the show and setup in the hall need to remain setup and working until such time that they can be removed.