Packathon Registration -

We would love to hear from you! Please fill out this form to help with a packathon.

Name*
FirstLast
Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal Code

Country
Email*
Enter EmailConfirm Email
Phone*
Which date would you like to attend*
- Saturday June 29, 2013 – Our Savior’s Lutheran Church – Oconomowoc, WI
What Sessions would you like to attend*
How many in group?*
Pay at door
You may pay by cash or check at the door with no service fee.
- Pay at door with no service fee
Accept my tax deductible participant fee via Paypal or pay at door
A $2.00 Paypal® online service fee will be added to the participation fee of $25.00.
Phone

This field is for validation purposes and should be left unchanged.