Clan Registration Form

Please provide the following contact information.  After completing the form press the PRINT button  at the bottom of this page and your  form will be printed. 

First Name
Last Name
Middle Initial
Title
Clan or Society
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
FAX
E-mail
URL
Tent and Space $100	(Please enter the number required.) includes 2 Games tickets & 1 program
Tent Space $30	(Please enter the number required.) includes 2 Games tickets & 1 program
6' Table $10	(Please enter the number required.)
Folding Chairs $2	(Please enter the number required.)
Date:	Signature:

PATRONS

Individual and Clans

LOCH NESS           $100.00	INCLUDES: Your name in the program, 1 Program, 2 Games tickets, 2 Games pins,      2 Games Tee-shirts, 1 Reserved parking pass
LOCH LOMMOND  $65.00	INCLUDES: Your name in the program, 1 Program, 2 Games tickets, 2 Games pins

LOCH TAY               $50.00

INCLUDES: Your name in the program, 1 Program, 2 Games tickets

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