HomeGathering

Registration Form
18th Annual Northcoast Men's Gathering
 May 30th - June 1st, 2008

Sliding Scale: $20 - $220
(Our cost is approximately $110 per person)

*Amount To Pay $
*Name 
Address 
City 
State 

Zip 

*Home Phone

Work Phone
*Email Address
*Year of Birth
I can offer a ride from 
I need a ride from 
I prefer the following food type Meat   Vegetarian
I have these dietary
 or physical restrictions:
I would like a T-shirt for $10 Size
Are you willing to help work with/supervise the kids at some point during the weekend? Yes   No
Where did you hear about the Gathering?

(We need your T-shirt order in advance:
there may not be extras.)

*Financial support is available;
call Marc at (707)839-4817 or Jim (707)822-2628 to discuss your needs.


Please mail your check for the above amount to:
NCMG
PO Box 644
Bayside, CA 95524