Pok-O-MacCready Outdoor Education Center - Making Learning Natural!
 | Home  | Events  | Community Events  | Registration Form
Registration Form

Contact Name:

Phone Number:

E-mail:

Address Line 1:

Address Line 2:

Town/City:

State/Province:

ZIP Code:

Country:

 I would like to receive information about future events at the Pok-O-MacCready Outdoor Education Center.

How did you hear about Pok-O and the event(s)?

Program(s)/Event(s):

Date(s):

Total # Attending:

Names and ages (if under 18) of those attending:

Total Cost:

Payment:

 I will call (518) 963-7967 to provide my credit card information.

 Please reach me at the number provided on this form for my credit card information.

 I will mail a check to:
               PMOEC
               P.O. Box 397
               Willsboro, NY 12996.

* Please note a 1% service charge applies to all credit card transactions.
* To help keep your identity safe, the Pok-O-MacCready Outdoor Education Center prefers that you do not send your credit card information through an e-mail.

Please use the space below for additional comments and questions.

This form is powered by www.dbmasters.net.


Contact Us!
ph: (518) 963-7967
fax: (518) 963-4165
PO Box 397
1391 Reber Rd
Willsboro, NY 12996
 


E-mail Us!

Would You Like More Information?

Send Us Feedback!
Teachers/Chaperones
Students