SwingandSoul.com | Registration

Swing and Soul 2008 Registration form

Part 1: Registration information

Please fill out the following information. Fields marked with * are required.

First Name: *

Middle Name:

Last Name: *

E-mail: *

Confirm E-mail: *

Gender: *

Address:

City: *

State: *

Country: *

Zip Code: *

Contact Number:

Part 2: Housing information

Housing: *

Part 3: Payment information

Current Total:Early Registration Price: $129.00 until October 16, 2008. International*/Student Price: $114.00 (must show a valid international or student ID) An additional fee of $5 will be added if using Paypal.

* International Discount: the discount is intended to help offset the costs for anyone traveling to Swing and Soul, coming in internationally. Travel docs or a foreign ID will be accepted as proof.

T-shirts will only be available on pre-order until November 15th, 2008

Select payment: