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Indiana Family Campmeeting Registration Form

General information:
 
Parent(s) names:
Mailing address:
City   State:   Zip:
Email:
Phone:
   
Children's name 1:    Age:
Children's name 2:    Age:
Children's name 3:    Age:
Children's name 4:    Age:
Children's name 5:    Age:
Children's name 6:    Age:
   

 
Lodging:

You MUST call the Lefflers at 217-322-6184 to reserve a cabin if that is your lodging choice.
 
Lodging Option Rate  
Cabin $36 per person How many in your family?
RV/Camper w/ Electric $52.00 How many nights?
Tent Site $8.00 per night How many nights?
  


Meal required:               We do not require any meals

After September 15th meals are $6.75 for 9-Adults and $5.00 for 4-8.
 
 
  Breakfast (7:30 am) Lunch (1 pm)
Ages: # 9-Adult # 4-8 # 9-Adult # 4-8
Thursday
Friday
Sabbath
Sunday
  # x $6.75 # x $5.00 # x $6.75 # x $5.00
Subtotals
 Total
$0.00
 Total
$0.00
 Total
$0.00
 Total
$0.00
 
TOTALS  
Lodging total
$0.00
Meals total
$0.00
PayPal fee
$0.00
TOTAL COST
$0.00
   
Remember you MUST CALL THE LEFFLERS at 217-322-6184 to reserve a cabin if that is your lodging choice.