SHIPSHE 2012 Sign Up Form

Shipshewana Bus Trip 2012 Sign Up Form

The fare for the bus trip to Shipshewana is $30 per person payable in advance. You can pay online here through PayPal. $30 is for your bus fare only.
All other expenses are on your own.

A phone number or an email address is required for each participant for contact purposes.

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Your email or anyone who can get a message to you. *

Additional info/questions/concerns: *

Submit