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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 |
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: ____________________________