Breakin’ Up Winter 12 - Registration Form

    Names for registration:__________________________________________

    ____________________________________________________________

    _______Weekend, @ $20 per person ($25 on-site)
    _______Student, @ $10, ($15 on-site)
    _______Day Pass, Saturday (includes the dance) or Sunday only, @ $15

    Meal Tickets: Deadline: February 14th
    IMPORTANT: Meal tickets usually sell out in advance. At the chance that some
    might be available on-site, they will sell at a higher price.

    ______Adults @ $35 _____Children under 12 @ $18

    ______Omnivore _______Vegetarian (not VEGAN)

    Friday Lunch
    @ $5.00 each, by February 25th. Must be ordered in advance.
    NO Friday lunch tickets will be available on site.
    _______ Omnivore _______Vegetarian (not VEGAN)

    Lodging
Cabin lottery was conducted January 15, 2007.
You can still pre-register for the group lodge
    _______Group Lodge @ $11 per night per person

    TOTAL REMITTED $_____________

    Name_______________________________________________

    Street_______________________________________________

    City___________________State_______Zip_______________

    Phone: day___________________night_______________________

    Email_______________________Fax___________________

    Please make checks payable to: Nashville Old-Time String Band Association
    Mail check and registration to:
       Pat Gill
       202 New Stock Road
       Asheville, NC 28804

    DEADLINES:
     January 15th to participate in cabin lottery
    February 14th for Saturday/Sunday meal tickets
    February 14th for Friday lunch tickets