Name: ____________________  Age __    Full Weekend or         $____.00
                                                                            Day Pass

Name: ____________________  Age __    W/end or Day             $____.00

Name: ____________________  Age __    W/end or Day             $____.00

(if more people are registering, please use another piece of paper)

If paying before the 8th January '99, please show number of vegetarians for the feast  __________

Postal address - if not for all registered participants, please give all addresses on  a separate page.

Street name and number: __________________________________

______________________________________________________

City: ______________  State: __________   Postcode: __________

Country: ___________  Ph(h): ___________ Ph(w) _____________

Fax: _______________  Email:  ____________________________

All registration information is treated as confidential.

Alternatively you can register by email by sending the above information to cymbrogi_oz@mailexcite.com.

Directions, schedule and additional information will be sent out upon receipt of registration.