Reservation Form - Kingdom A&S/RUGA
September 19-21, 2008 at Camp Henry Jacobs, Utica Mississippi

Mail to: Jane Malley, 3390 Oktoc Road, Starkville, MS 39759

Modern Name____________________________________________

SCA Name______________________________________________

SCA Memb. No. _______________________ Exp._______________

E-mail address:__________________________________________

Circle Your Price

Before 9/1
w/feast

Before 9/1
w/o feast
After 9/1
w/feast
After 9/1
w/o feast
Daytrip
$16
$11
$21
$16
Tenting
$19
$14
$24
$19
Dorm Room
$24
$19
$29
$24
Private Room (min 2 ppl)
$26
$21
$31
$26

 

 

 

 

 

 

 

Non members add $3 to above fees
Make checks payable to SCA, Inc./Shire of Rook's Haven

Amount For This Reservation: ____________________________