English Form Efec Summer School Page 3

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Payment   m ethods:  
Check   m ade   o ut   t o   E FEC   a nd   m ailed   w ith   r egistration   f orm   t o   P O   B ox   1 8533,   A von,   C O   8 1620  
Number   o f   c ampers   p articipating   i n   t he   p rogram        
                        x   $ 200       $    
 
 
 
 
 
I   w ould   l ike   t o   s ponsor   a   c amper   o r   c ampers   #      
 
                        x   $ 200       $    
 
 
 
 
 
I   w ould   l ike   t o   m ake   a n   a dditional   d onation   t o   E FEC   i n   t he   a mount   o f     $    
 
 
 
 
 
Total   $    
 
 
 
 
 
Via   C redit   C ard:     V isa           M aster   C ard           American   E xpress    
 
Credit   C ard   N umber:      
 
 
 
 
 
  E xpiration   D ate   ( MM/YY):      
 
 
Each   s tudent   w ho   a ttends   c amp   w ill   r eceive   a   w ater   b ottle,   t -­‐shirt,   a nd   U kulele.    
Students   m ust   b ring   a   l unch,   s nacks,   a nd   w ater   e very   d ay;   h ats,   s unglasses,   a nd   s unscreen   a re  
recommended.  
 
Any   q uestions   c oncerning   t he   c amp,   p lease   c ontact   M olly   G allagher   a t  
m
  o r   9 70-­‐390-­‐6310  
Page 3 of 3  

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