{Please print this page, fill out form & mail to the address below}

Registration Form

Cabin Fever Hook-In

Name_____________________________________

Address___________________________________

__________________________________________

Phone No._________________________________

Email_____________________________________

Deposit Required:      $70.00_____ Entire Amount :  $145.00

Room:   Double                  $54.00_____

            Triple                    $56.00_____

            4 to Room            $58.00_____

Total Amount Sent            $___________

Please send names of all who will be sharing rooms.

Payment to be mailed to:

Bev Stewart

6583 S. Co. Rd. 400 E.

Clayton, IN  46118

If you have questions, please call Bev at 317-839-3612