Historic Prophetstown
P.O. Box 331   Battle Ground, IN 47920
Phone: (765) 567-4700 Fax: (765) 567-4736
www.prophetstown.org

Draft Horse Workshops 2008, Sponsored by PEFCU. Registration Form

Please complete this section, detach, and mail with your payment to:

Historic Prophetstown
P.O. Box 331   Battle Ground, IN 47920


Name(s)________________________________________________________

_______________________________________________________________

Address________________________________________________________

City_____________________________________,State_____, Zip__________

Phone_________________________ email____________________________

The prices are: $250 per person, $200 per person for HP members, MOMCC members.
Prices include breakfast and lunch for both days, and supper for Saturday evening.

Number of participants registering _________________________________________________ 

Are you a member of HP or MOMCC?______________________________________________


Payment:         ______check      ______Visa       _____MasterCard          _____Discover


Account #_____________________________ Expiration date _______ Total $ ____________



*Please indicate which workshop you are registering for:


___________May 3rd & 4th   _________Sept. 6th & 7th


Signature________________________________________________________
Required for credit card authorization