Bethel Woods Registration Form

First Name

Last Name

Phone number

Email

Address

City, State, Zip

Emergency Contact Name

Emergency contact phone number

Number of Deposit Per Person (If not paying in full today) tickets

Number of Early Bird Member Pack (covers cost for 2 people same room) tickets

Number of Single Member Early Bird (covers cost for 1 person staying in 1 room) tickets

Number of Regular Member Pack (covers cost for 2 people in the same room if registering after May 12) tickets

Number of Regular Individual Member (covers cost for 1 member in 1 room if registering after May 12) tickets

Number of Single Non-Member (covers cost for 1 person staying in 1 room) tickets

Number of Non-Member Package For 2 (covers cost for 2 non-members staying in the same room) tickets

Total: