Mandolin Camp North - Registration Form
April 16, 17, & 18, 2010
Fill in the form on-screen, then choose "File - Print" and mail it in with payment to:
Mandolin Camp North, PO Box 1755, Orleans, MA 02653
For latest information visit http://www.MandolinCampNorth.com

If registering for more than one person, please submit a separate form for each individual.
(Returnees -- you may fill in just your name and any information that has changed.)

First Name: Last Name: Date:
Address:
City:
State:
Zip:
Country: Phone: Cell Phone:
Email: Name on badge:
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Playing Level:
Novice: cannot play at all, or just a little, but not with others.
Beginner: play some tunes, basic chords, & chord changes.
Intermediate: play tunes, recognize changes, play with others slowly.
Advanced: play tunes up-to-speed, want to improve playing in groups. 		Interests?
Bluegrass Mando
Old Time Mando
Beginner Guitar
Fiddle
Special:  Vegetarian  Women's cabin  Couples' cabin  Quiet cabin 10pm-8am  Adult Center*
Where did you hear about MCN?  Free T-shirt size? (S-4x)
Payment Options
Tuition, room, & board in full: (12:30 PM Friday - 3:00 PM Sunday, 6 meals).

Early-bird registration Pay in full before February 15,th, 2010 and save!
Adult Center accomodations*, $475 (no discount). (Includes 6 meals).
Regular Resident, pay only $325. ($375 thereafter)
Regular Commuter, pay only $275. ($325 thereafter) Staying where?
Resident, non-playing spouse/partner, $250. (Noon Friday - 4PM Sunday, 6 meals).

Optional - sheets, pillowcase & towel, $20 (camp provides bed, blanket & pillow).
Optional - extra MCN T-shirt, $20.   Size(s).
Optional - color photo of staff and attendees, $25
Day rates:
Friday only, $150 includes supper but no accommodations.
Saturday only, $250 includes 3 meals but no accommodations.
Sunday only, $200 includes breakfast & lunch but no accommodations.

Total amount:   Payment type: Check enclosed Mastercard Visa
Name as it appears on credit card:
Credit card number: - - -  Exp. Date
The first $100 of the registration is a processing fee and is not refundable. No refunds after March 15th. Some partial scholarships may be available.
*Adult Center accommodations are a bit nicer than regular. They are limited and must be paid in full, in advance.