<<<<<<<<<< LOBSTERCON2018! REGISTRATION FORM >>>>>>>>>> DATE: ___________ Scheduled dates are: July 13, 14 & 15 2017 CALL: ____________ # IN PARTY: _____ NAME:________________________________ XYL & KIDS NAMES: ________________________ HOME ADDRESS1: ___________________________ ADDRESS2: ___________________________ TOWN/ STATE/ZIP: _________________________ TELEPHONE #: ______________________ CELL #: ______________________ EMAIL ADDRESS: ______________________ ARRIVAL DAY: ___________ ARRIVAL TIME: ___________ DEPARTURE DAY: ___________ DEPARTURE TIME: ___________ # ATTENDING NO HOST FRIDAY DINNER: _____ # ATTENDING BBQ LUNCH: _____ # ATTENDING LOBSTER DINNER: _____ # ATTENDING NO-HOST SUNDAY BREAKFAST: _____ ANY SPECIAL NOTES/INSTRUCTIONS/FOOD REQUESTS: _________ _________________________________________________________ ANY CONTRIBUTIONS IN PHYSICAL HELP OR ACTIVITIES: _______ _________________________________________________________ COMMENTS OR SUGGESTIONS: ______________________________________ _________________________________________________________ Fees: W1REX Registration: ___ people x $40.00/person = $_____ Make checks or USPS money orders out to Rex Harper And mail to QRPme PO Box 160 Limerick, Maine 04048 OR Paypal to: [email protected]