Winter SOULstice Registration

Back to Previous Page

 


2011 Winter SOULstice Registration

If you would prefer to mail you registraion in, you can simply click here to download our offline registration form and mail in your check.

* Required Fields

Please select one:
Full Weekend ($150)
Saturday Only ($80)

* Number of Participants:

* First Name:

* Last Name:

Additional Participants names (if more than one person attending - separate by commas. Example. John Doe, Betty Doe):

* Phone Number:
 -  - 

* Email:

* Billing Address:

* City:

* State:

* Zip:

Will you provide a service?

If yes, provide details of service you will offer:

Will you sell products?

If yes, provide details of product(s) you will sell:

Please list additional needs here:

For registration questions, please call Roxanne at (701) 845-4324.

Official PayPal Seal