THERE IS NO PRE-REGISTRATION.  DO NOT MAIL.


MERRY TUBACHRISTMAS®
2009 PARTICIPANT FORM
Please print legibly - Use home address - Do not abbreviate - Please complete - DO NOT MAIL

TUBACHRISTMAS City: ________________________________________

                                    State: __________

Is this your first TUBACHRISTMAS?   YES

NAME:First__________________ M.I._____Last_______________________________  

ADDRESS:______________________________________________________________

CITY:_______________________STATE:_____ ZIP:____________      All checks payable to TUBACHRISTMAS-HPF

TELEPHONE: ____________________________________________________

EMAIL ADDRESS:______________________________________________

Is the above a change of name or address for the TUBACHRISTMAS mailing list?  YES      NO


PREVIOUS NAME _____________________________

ADDRESS  __________________________________________  CITY/STATE/ZIP _________________
When/if your address changes, please notify TUBACHRISTMAS - P.O. BOX 933 - BLOOMINGTON, IN 47402-0933
VISIT OUR WEBSITE at www.TUBACHRISTMAS.com

Please Note: All registration fees are tax-deductible donations to The Harvey Phillips Foundation, Inc., a not-for-profit, tax-exempt corporation.  TUBACHRISTMAS is a property and production of The Harvey Phillips Foundation, Inc., P.O. Box 933, Bloomington, IN 47402-0933.  TUBACHRISTMAS is used by permission; commercial exploitation is prohibited.

 

Print this form, fill in all information and bring with you to TUBACHRISTMAS registration.

THERE IS NO PRE-REGISTRATION.  DO NOT MAIL.