2012 ONE YEAR or BIG 4 PASS

Team Name:	Phone: ()-
First Name:	Address:
Last Name:	City:   ST:   Zip:
Email:

ONE-YEAR PASS if Paid For by Cash, Check, or Money Order by	1/15/12	$200.00
ONE-YEAR PASS if Paid For by CREDIT CARD or PAYPAL by	1/15/12	$225.00
ONE-YEAR PASS if Paid For by Cash, Check, or Money Order after	1/15/12	$225.00
ONE-YEAR PASS if Paid For by CREDIT CARD or PAYPAL after	1/15/12	$250.00
CAMPSITE DEPOSIT for 2012 ONE-YEAR PASS		$ 20.00
BIG-FOUR PASS if Paid For by Cash, Check, or Money order by	1/15/12	$150.00
BIG-FOUR PASS if Paid For by CREDIT CARD or PAYPAL by	1/15/12	$175.00
BIG-FOUR PASS if Paid For by Cash, Check, or Money Order after	1/15/12	$175.00
BIG-FOUR PASS if Paid For by CREDIT CARD OR PAYPAL after	1/15/12	$200.00
CAMPSITE DEPOSIT for 2012 BIG-FOUR PASS		$ 20.00
TOTAL:

You must check the below box before submitting the form!
ABSOLUTELY NO REFUNDS GIVEN ON PRE-REGISTRATION!!

If PAYING WITH CC or PAYPAL - AFTER PAYING - MAKE SURE TO HIT CONTINUE - ELSE YOUR REGISTRATION WILL NOT BE SUBMITTED!


If you are reserving a campsite for all of the ONE-YEAR PASS or BIG FOUR, please indicate Campsite Number Preference:
If you wish a spot in a bunkhouse for all of the ONE-YEAR PASS or BIG FOUR, please check here and one will be assigned:

Use PASS HOLDER EVENT REGISTRATION Form to Pre-register for Events

Send all Checks and Money Orders to EMR Paintball Park, P.O. Box 728, New Milford, PA 18834