TO REGISTER FOR EUPHORIA, COMPLETE THIS FORM AND RETURN, WITH PAYMENT AND SIGNED DISCLAIMER TO:-
VIC. PAGAN, P.O. BOX 366, DIAMOND CREEK, VIC. 3089

Each person attending EUPHORIA must fill out a separate registration form.
Numbers are strictly limited to 50 people. To avoid disappointment and save money book early.

Name:

Address:

Telephone:                                Mobile:                                    E-mail:

I require CAMPING [ ] DORMITORY  [ ] accommodation (please tick appropriate square)
Please list any special dietary needs i.e. Vegan,  food allergies etc.  We will inform you if we are unable to meet your needs.
 
Names of friends you wish to be accommodated with:

To reserve your place send $100 deposit per person ( NON-REFUNDABLE except as stated below), or full payment.
Cheque or Money order only, payable to VIC PAGAN

Register BEFORE 4/04/2008, pay :

. $250 per person (children under 2 yrs free, 2 -18 years old not admitted) Infants under 2 years old must be under the constant supervision of a parent
and have their own cot to sleep in.

. Paid Deposit / Full payment (please omit whichever is not applicable) enclosed..........................: $

. Balance due.........................................................................................................................: $

Bookings after 4/4/2007 add $50 per person.

[ ] If you wish to pay by installments please tick, and we will send a payment planner

A courtesy reminder will be e-mailed app. 2 weeks before the final due date. However, payment is your responsibility we take no responsibility for the delivery of the reminder.

If final payment is not received by 18/04/2008 your place will be re-allocated from the waiting list.

FINAL PAYMENT MUST BE RECEIVED BY 18/04/2008.
CANCELATIONS :
BEFORE 4/04/2008, REFUND 50% OF DEPOSIT PLUS BALANCE PAID 
NO REFUND OF DEPOSIT AFTER 04/04/2008 UNLESS YOUR PLACE IS RE-ALLOCATED.
NO REFUNDS AFTER 18/04/2008, UNLESS YOUR PLACE IS RE-ALLOCATED
NO REFUND AFTER 2/05/2008

Payment by cheque or money order only, payable to Vic Pagan.

PLEASE NOTE: YOU MUST PRINT OUT, READ, SIGN THE DISCLAIMER AND POST IT WITH THIS FORM OR YOUR REGISTRATION WILL BE INVALID.