Willows SummerStage 2009
Early Registration Form

You will be sent an e-mail confirmation of your registration.

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STUDENT INFORMATION
First Name:		Last Name:
Address:
City:		State:
Zip:		Best Contact Email:
Eve Phone:		Day Phone:
Grade in Fall '08:		Age:
School:
How did you hear about the Willows SummerStage camps?
PARENT INFORMATION
First Name:		Last Name:
Address:
City:		State:
Zip:		Email:
Eve Phone:		Day Phone:

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Early Registration is open now for the full amount of $400.00.  Payment must be received by January 31, 2009.  Early Registration Tuition is non-refundable.  After January 31, 2009 the cost of our program is $800.00
Payment Amount:	$400.00
Type of Credit Card:	Choose a Card American Express Discover MasterCard Visa
Credit Card Number:
Expiration Date:

Cybertickets
Become a member of our CyberTickets list and receive special discount ticket offers unavailable anywhere else!

Group Sales
Groups of 10 or more receive special discounts to Willows shows.

Memberships
Buy a Willows Theatre membership and receive discounted tickets.