Registration Form

Dear Friend,
   Please read each part of this form carefully.  The information you provide 
will better help us to organize the event.  Enrollments are limited, so register
early.  Please return this form with your deposit and/or tuition balance as soon
as pssible.  We will send a map, packing list, camp information and release form 
upon receipt of your registration.

NAME:_______________________________________________________ RS  WC (circle one)

ADDRESS:________________________________________________________________________

CITY: ________________________________________ STATE: _______ ZIP:______________

PHONE:______________________________ E-MAIL_____________________________________

HOW WILL YOU BE TRAVELING?______________________________________________________

DO YOU PLAN TO USE OUR SATURDAY AIRPORT SHUTTLES? ______________________________

WHEN DO YOU PLAN TO ARRIVE? (Flight/Bus info)___________________________________
If you are using the shuttle please include all travel informnation.

Early Registration - $245 (WC prior to 2/1 or RS prior to 9/1) ________________

Late Registration - $275    (after the above dates)             ________________

Saturday airport shuttle (round trip) - $20 (Rabbitstick only)  ________________

Society of Primitive Technology membership ($30 - 1 year)       ________________

                                                Total Fees Due: ________________

Make checks payable to Backtracks and mail to:

Backtracks, LLC - PO box 905 - Rexburg, ID 83440

Credit Card # ______________________________________  Exp Date: ________________

Signature: _____________________________________________________________________