south coast round-up registration form 2009

Registration before July 1st- $14.00.........................................Amount__________

After July 1st -$15.00..............................................................Amount__________

T-Shirt - $14.00 Tan Qty. L, XL, 2XL or Lt. Blue Qty. L, XL, 2XL....Amount__________

Hoodie - $24.00 Tan Qty. L, XL, 2XL or Lt. Blue Qty. L, XL, 2XL....Amount___________

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


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


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