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Barn Dance Historical Society, P.O. Box 68 Wingham , ON N0G 2W0
EARLY BIRD REGISTRATION for the 23rd Annual Jamboree/Campout Weekend
May 21, 22, 23, and 24, 2020
Blyth & District Community Complex and Campgrounds,
377 Gypsy Lane, Blyth, Ontario
Name(s)……………………… ……………………………… ………………………………
Address…………………………… ……………………City/Town……… ……………………………….
Postal Code………………………….. Telephone Number [……….]…………………
RV License Plate#………………………… ………. Membership #(s)………………………… …………..
# of Persons in Party . _______
Camping on Wednesday _____Thursday _____Friday _____Saturday _____ Sunday ______.
NOTE: FOUR NIGHT CAMPING RATES CAN BE WEDNESDAY TO SATURDAY OR THURSDAY TO SUNDAY NIGHTS
I would like to volunteer as a helper ______.
NON MEMBERS:
| Admission to all Events & Camp Site Included | 1 Non Member |
2 Non Members
|
TOTAL |
Sat Night Camping & Events |
$72.00 |
$114.00 |
$ |
Camping 2 Nights & Events |
$115.00 |
$170.00 |
$ |
Camping 3 Nights & Events |
$145.00 |
$200.00 |
$ |
Camping 4 Nights & Events |
$175.00 |
$230.00 |
$ |
* Extra Arm Bands All Events |
Number _______ |
@ $55.00 each |
$ |
TOTAL - PAID UP TO AND INCLUDING FRIDAY, May 1st |
$ |
MEMBERS ONLY - Must have a current membership card and number shown above or pay membership fee below. Register UP TO AND INCLUDING FRIDAY, May 1st, 2020, for the following rates:
| Admission to all Events & Camp Site Included | 1 Member |
2 Members
|
TOTAL |
Sat Night Camping & Events |
$68.00 |
$108.00 |
$ |
Camping 2 Nights & Events |
$96.00 |
$136.00 |
$ |
Camping 3 Nights & Events |
$124.00 |
$164.00 |
$ |
Camping 4 Nights & Events |
$152.00 |
$192.00 |
$ |
Extra Arm Bands* For |
Members – Number_____ |
@ $45.00 each |
$ |
Extra Arm Bands* For Non |
Members – Number_____ |
@ $55.00 each |
$ |
Sub - total
|
$ | ||
Membership Fee(for 1 year) |
If not previously paid |
Single $25; Dual $40 |
$ |
TOTAL Paid |
By May 1st |
$ |
Email address for Registration Confirmation _______________________________________________ ______________________
Handicapped Site Requested (15 Amp Service only - Smaller units) Permit # _____________
All Prices include HST (13%) - Members must show Membership Number for each Extra Armband(s).
Make cheques payable to “Barn Dance Historical Society”; Box 68, Wingham, ON N0G 2W0
Cancellation Policy: We will refund your money if you cancel prior to May 1st, less a $20 admin fee.
NO POST DATED Cheques. Returned cheque Fee - $25.00;
ADMISSIONS AT DOOR: Weekend Armband - $55/person; Friday Evening Event - Arm band - $15.00.
Saturday Evening Show/Dance Arm Band - $35.00 Sunday Gospel Show Arm Band - $15.00(HST included)
BLYTH LIONS CLUB
SATURDAY EVENING DINNER AND SUNDAY MORNING BREAKFAST TICKETS
ORDER FORM - 2020
CHEQUES PAYABLE TO “ BLYTH LIONS CLUB”
Saturday, May 23rd – 4:00PM – 6:30PM – Dinner Tickets (Buffet style, includes desserts and coffee/tea)
Number of Dinner Tickets_____________________ @ $17.50 each $______________
Sunday, May 24th – 7:30AM – 9:30AM - Breakfast
Number of Breakfast Tickets_________________ @ $8.00 each $______________
TOTAL (Cheque payable to Blyth Lions Club - NO HST) $______________
Name________________________________________________________________
Address______________________________________________________________
City/Town_____________________________________Postal Code______________
ADVANCE TICKETS ONLY. Enclose your cheque payable to "Blyth Lions Club" with your Barn
Dance Registration. Your tickets will be issued with your registration.
NOTE: IF YOU MAKE YOUR CHEQUE PAYABLE TO THE BARN DANCE HISTORICAL SOCIETY, PLEASE ADD 13% HST
TO YOU ORDER.