Register for Muin Mound Madness XVI!
August 14-17, 2008

The annual festival of Muin Mound Grove, ADF is set against the natural beauty of Central New York, in Bridgeport. It's conveniently located just a short drive from the greater Syracuse metropolitan area.

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Registration / Mailing List Form

All information provided will be kept confidential and only used for mailings and future planning. If you do not wish to provide your address, please fill in city and state/province for statistical data purposes. However, to be on the mailing list, you need to complete name and address portions completely.

Name (mundane and/or magickal)
Address
City
State/Province	Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ------ Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Yukon ------ International
Zip/Postal Code
E-mail address
Telephone
Number in party (adults/children)
Group/Coven/Organization affiliation?
Mailing Type: E-mail Printed Copy
Payment Type: PayPal, payable to pursewarden@muinmound.org Check Money Order Scholarship Pay at Door
For Muin Mound Madness 2009 I am interested in: Mailing List Planning Committee Vendor Reader Healer Workshop Presenter