Cut Out Cancer Crop 2012

Registration Form

 

When: February 11, 2012

Where: Pine Needles Resort

Southern Pines, NC

Time: 9 am – 9pm

 

 

Admittance is $50 per person 12 years and older. This includes a workspace, snacks and meals for the event.

 

Registration is on a first come, first serve basis. Your registration is not complete until payment is received. The deadline to register is January 31, 2012.

 

Cancellations after January 15, 2012 will receive a 50% refund. No refunds will be made after January 31, 2012. The event is rain or shine, no adverse weather policy or refunds will be provided day of the event.

 

All proceeds will go to benefit the Cancer CARE Fund of Moore Regional Hospital.

 

 

 

Mail this completed form with your $50 registration fee to:

Cut Out Cancer Crop

Attn: Connie Goodrum

PO Box 249

West End, NC 27376

*Personal checks, cashiers checks or money orders accepted

*Make checks out to Cut Out Cancer Crop

 

I would like to sit with (3 per table)

1.

 

2.

 

3.

 

Name_________________________________________________

 

Address_______________________________________________

 

Phone________________________________________________

 

Email________________________________________________