south coast round-up registration form 2010

Registration before July 1st- $16.00............................................Amount__________

After July 1st -$18.00...................................................................Amount__________

T-Shirt - $14.00 Black Qty. M, L, XL, 2XL ......................................Amount__________

Hoodie - $24.00 Black Qty.M, L, XL, 2XL .......................................Amount___________

Coffee Cup -$8.00..........................................................................Amount___________


Total Amount...........................................................................................___________


send to P.O. Box 6612, Brookings, Oregon 97415