Registration Form

First Name

Last Name

email

Phone

Address 1

Address 2

City   

State
   ZIP


Number of adults attending


Number of kids attending

Children 12 and under free with parent accompaniment


Method of payment:
Please pick below

Check's in the mail
PayPal

Cost:
$15

Pleass make checks payable to:

FASIS
PO Box 2403
Corvallis, Or 97339