2008 Registration Form Hot Springs Extravaganza, Nov 7-8, $130 * Yes No T-Shirt Size * First Name * Last Name * Address * City * State * Zip Code * Phone Number * Cell Phone Number Work Phone Email * Submitting this form does not secure a ticket. Please allow 48 hours before calling to verify that we have received your registration. 501-278-5700 * Yes No I would like to be contacted for my credit card information * Yes No Name on Credit Card Credit Card Number Expiration Date Three Digit Security Code on Back of Card Charge Full Amount * Yes No Layaway ( Minimum $65 down ) this amount will be deducted each month

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