Pay through Paypal or mail in the registration form with a check.
PLEASE FILL IN THE REGISTRATION FORM BELOW PAYMENT BUTTONS.

$150 Dancers ( includes all workshops)      $175After September 5

$125 Dancers (3 days only includes all workshops)      $150  After September 5

$80 Daughters and Granddaughters (includes workshops)       $100 After September 5

 $95 Non-Dancers (No workshops)       $115 After September 5

 $50 Vendor Fee in addition to regular fee

Online registration:

Name *
Name
Address
Address

Mail in registration:

 NAME(S)________________________________

DANCE NAME______________________________

E-MAIL ADDRESS__________________________________________________

ADDRESS____________________________________

CITY/STATE/ZIP_________________________

PHONE_______________________________

YOUNG CHILD__ROWDY CABIN__QUIET CABIN__

I WANT TO BE IN CABIN WITH:_________________________________________________________

COST: Until August 30, 2017   After August 30

____Dancers (includes workshops).....$150.00...........$175.00

____Dancers (3 days only includes workshops).....$125.00...........$150.00

____Daughters and Granddaughters.....$80.00.....$100.00

____Non-dancers (no workshops).....$95.00.....$115.00

____Vending Table...................................................$50.00 plus regular fee

I am enclosing: $____________No Refunds after September 1, 2017        Credit Cards Now Accepted

Credit Card Number ________________________________________

Expiration ______________

Three digits on back of card__________ Billing Zip Code________________

 You may also pay through paypal to jareeda@jareeda.com

Please remit to Mezdulene, P.O. Box 680, Sutherlin, OR 97479.  Questions?  Call (541)459-3115.