Registration Form

$5.00

REGISTRATION FEE

$20.00

CAMP FEE

$30.00

LATE REGISTRATION FEE*
  *  CAMP FEE INCLUDED

$15.00

CHECK THIS IF YOU ARE INTERESTED IN CAMP T-SHIRT

SEND CHECKS ONLY.  NO CASH PLEASE

Subtotal:

Total:

Name:

Address:

City:

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Country:

Zip/Post. code:

Phone:

E-mail:

**  Print this form out and mail it to us  **

PLEASE SEND AND MAKE CHECKS PAYABLE TO:
    FCCC
     C/O:  WWJD-Y2K
     25787 ELDRIDGE AVE
     HAYWARD, CA. 94544
   

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PLEASE E-MAIL ME IF YOU HAVE ANY QUESTIONS REGARDING THIS WEB SITE,.  THANK YOU
WEB MASTER :  JASON R. REYNOSO

Phone: 510.887.8870
Fax: 510.887.8870
Email: [email protected]