Registration Form Print it and Mail it!

Cinesation 2008 Registration
Print this page and mail it with your check or M.O.

Registration Fees
Pre-registration $55 * At the door $65 * 1 Day pass $35

Your Name:_____________________________________

Additional names:_______________________________________________

ADDRESS:______________________________________

CITY:__________________State or Province___________

Zip_________________

E-Mail Address___________________________

# of names registered _______X $55.00=$________

Please send your check for the total amount in U.S. funds payable to:

THE GREAT LAKES CINEPHILE SOCIETY, INC.
P.O. Box 352
Frankenmuth, MI. 48734