Music in the Mountains
Registration Form
* Name
* Address
* Home Phone Work Phone
All spaces with * are required
Church Name, Town
Tickets for the event are $15.00 before August 21, 2010
Tickets and Food Card only
Number of Tickets
Number of Food Cards
Lodging Options if Purchased by August 10
(includes food card, lodging and ticket price)
Number of Adult Participants needing Lodging Lodging Request
Tent one or two nights $29.00
Cabin one night $36.00 Cabin two nights $43.00
Enrichment Center One night $47.00 Enrichment Center Two nights $65.00
Number of Children Participants needing Lodging
Enrichment Center One night Children (ages 6-10) $34.00 Enrichment Center two night Children (6-10) $39.00
This is the total amount you will be charged
P.O. Box 245, Jennerstown, PA 15547 | Phone: (814) 629-6627
last modified: 24 January 2010 -- Copyright 2009 - 2010 Sequanota. All Rights Reserved.