Weekend Getaway 2008 July 25-27 Printable Registration Form P.O. Box 451582 LOS ANGELES, CA 90045 or FAX: 310-601-7380

^{Instructions: Print out and fax or mail. (Please print clearly)
Last Name: ____________________ First: ______________________ 
Address: __________________________________ Apt No. _______
City: ________________________ State: __________ Zip: __________
Home Phone: ( ) _________________Business Phone: ( ) ______________
E-Mail: _____________________________ Age: ______
Additional Guest Name (with package): _____________________________
Referred by: _________________________________________
Package prices are per person double occupancy and include room, entertainment, and parties:
Package  #1  SOLD OUT   , Package  #2  SOLD OUT     Package  #3    SOLD OUT      Package  #4   SOLD OUT}

Guest (3)_______________________________       Guest (4)____________________________
^{Please fax  order page to reserve your room package. Payment must be received 7 
days after order or room package will be released.  
Send registration form and payment information (Cashiers Check, Personal Check or Money Order,  ) to: PIPS
P.O. Box 451582
LOS ANGELES, CA 90045
or FAX: 310-601-7380}
Payment Method:
^{Grand Total $_____________Total Deposit $____________Balance Due: ________
A deposit of half the total is now due to ensure your space.}
Remainder of balance due by June 15, 2008
Consumer Agreement: I understand and agree that any such cancellations do not affect the non-refundability of any deposit or of any package payment that I remit to PIPS Entertainment with this payment. Pips Entertainment will not be responsible for registrations that are not filled out thoroughly.

^{Signature: _________________________________________________}