Address:                                                                        .
 

City:                              ST          Zip                       .
 

Phone: (       )        -                              .

(       )Camper Size:                              .

(       )Tent Size:                                      .
 

DONATION OF $5 PER UNIT PER NIGHT
 

Number of Nights              @ $5.00
 
 

Total Enclosed                           .
 

Make Checks Payable to:
Lakeside Camp Meeting
c/o Farnham UMC
PO Box 306
Pittsburg, NH 03592