To pre-register online, please complete this form and click the 'Send to Doug' button. To qualify for the pre-registration rate, you must submit this form prior to April 27, 2007. Thank you! Note:  Pre-registration is for Friday's workshop only. There will be no advance admission to the Friday evening and Saturday concerts.

First Name:   Last Name:

Address:

Address:

City:    State:   Zip:

Phone:

E-mail Address: (johndoe@aol.com)

First & Last Names of People Attending:

Session(s) Attending:

Total Cost (Number of people * Session Cost): ($50x2=$100 --- $50x3=$150 --- $50x4=$200)

Method of Payment: Select One Mastercard VISA Check *    

Card Number:

Expiration Date:

Name as it appears on the card:

*Make checks payable to: Gospel Steel Guitar Association and mail to: Doug Rolfe, 5289 N. Co. Rd. 475 E., Bainbridge, Indiana 46105.

Please print a copy of this form for your records. Thank you!