14th Annual Phlocking of the Phaithful - Registration Form
Put-In-Bay, OH; June 12 – 15, 2008

REGISTRATION FEE PER PERSON $70.00 (IN US FUNDS)
AFTER MAY 24, 2008, REGISTRATION FEE INCREASES TO $80.00 AND THERE IS NO GURANTEE
THAT YOU WILL RECEIVE ANY OF THE PROMOTIONAL ITEMS THAT WILL BE GIVEN OUT AT REGISTRATION.

Please fill out one form per person. Please PRINT all names clearly for name tags (maybe!).
Send the appropriate U.S. Funds as outlined below. Check or Money Orders payable to "Phlocking of the Phaithful".
Please fill out ALL of the information below. We will notify you of receipt of your registration via email if you have an email address. Otherwise, you will need to provide a self-addressed stamped envelope for verification of your registration. Any questions please email: pkaley@comcast.net.

YOUR REGISTRATION INFORMATION:

NAME: __________________________________________________________________

ADDRESS: _______________________________________________________________

ADDRESS: _______________________________________________________________

PHONE: _____________________________ EMAIL _____________________________

T-SHIRT SIZE(S): (2X Add $2.00, 3X Add $3.00, 4X Add $4.00 to your order for larger sizes)

_____M _____L _____XL ______2X ______3X ______4X

# OF PERSONS ATTENDING ____ x $70.00 ($80.00 after May 24th) = _________

TOTAL REGISTRATION MONEY ENCLOSED: _____________________________________

PARROT HEAD CLUB AFFILIATIONS (NOT NECESSARY): _______________________________

CELEBRATING ANYTHING SPECIAL DURING THE PHLOCKING - PLEASE LIST BELOW

_____________________________________________________________________________

YOU WILL RECEIVE A FINAL AGENDA OF EVENTS AT SIGN IN AT PUT-IN-BAY

ADVANCE REGISTRATION REQUIRED