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

WEEKEND EVENT PASS
WEEKEND PASSES MUST BE PAID FOR IN FULL

<sup>Instructions: Print out and mail in. (Please print clearly)
Last Name: ____________________ First: ______________________ 
Address: __________________________________ Apt No. _______
City: ________________________ State: __________ Zip: __________
Home Phone: ( ) _________________Business Phone: ( ) ______________
E-Mail: _____________________________ Age: ______
Referred by: _________________________________________
$ 200.00 Per Pass
Number of passes ___________               Total $________________

Please fax  order page to reserve tickets. .  
Send  form and payment information (Cashiers Check, Personal Check or Money Order,  )  to: Derrick Pipkin
P.O. Box 451582
LOS ANGELES, CA 90045</sup>

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: _________________________________________________}

*WEEKEND EVENT PASSES ARE ONLY GOOD DURING WEEKEND EVENTS. YOU ARE NOT A REGISTERED GUEST AT THE RESORT, WHEN EVENTS ARE OVER YOU MAY BE ASKED TO LEAVE RESORT PROPERTY.