2012 PJ Crop

January 13-15, 2012
Sheraton Westport Chalet

Please print out this form and mail to:
DMF Events
1128 Highland Farms Dr.
Wentzville, MO 63385

Reservations Required
Deadline: December 31, 2011

Name: _____________________________________________________________________

Address: ___________________________________________________________________

City/State/Zip: _______________________________________________________________

Phone: ________________________ Email: ______________________________________

Roommate Name: _____________________________________________________________

Croppers you would like to sit near: _______________________________________________

Check here if you will be staying overnight at the hotel.

2012 PJ Crop: _____		$225.00 ea	____________
Shirt: You pick it your way! 1st - choose the style. 2nd - choose the color. 3rd - choose the size.
_____	Short Sleeve T Color: White Light Purple Ash Size: S M L XL 2X	$13.00 ea	____________
_____	Long Sleeve T Color: White Ash Size: S M L XL 2X	$15.00 ea	____________
_____	Ladies T Color: White Light Purple Ash Size: S M L XL 2X 3X	$15.00 ea	____________
_____	Sweatshirt Color: White Light Purple Ash Size: S M L XL 2X	$20.00 ea	____________
_____	Hoodie Color: White Light Purple Ash Size: S M L XL 2X	$22.00 ea	____________
Total Enclosed $			____________

Method of Payment to: Scrapology

Check

VISA

MasterCard

Card # _______________________________________________________________

Name on Card: ______________________________________ Exp. Date: ________

Signature: ____________________________________________________________

Call (636) 332-0243 for more information
or visit our web site: www.scrapologyusa.com