Registration Form

First Name

Last Name

email

Phone

Address 1

Address 2

City   

State
   ZIP


Number of adults attending

Cost per ticket: $15


Number of kids (under 13) attending

Cost per ticket: $7


Method of payment:
Please pick below

Check's in the mail
PayPal


Pleass make checks payable to:

FASIS
PO Box 2403
Corvallis, Or 97339