Name: ___________________________________________________
Address:___________________________________________________
City:_____________________ State:______ Zip:_____________
Email:____________________________________
SCA member_____ non member______ (check one)
Camping_____ Day Fee_____
# of Adults________ # of Children 12 and under________
(SCA members $12 camping
age 12+; $7 Day Fee age 12+. Age 12 or less - FREE!
Non-SCA members, please add $3 surcharge)
Family Rate (Maximum $36.00 family camping fee; $21 family day fee )
# of Families_________
Feast $8.00 Seated; $6.00 Offboard Per Person
Number of people________ Seated_____ Offboard______
Total Amount$___________
Please
print and mail this form and your check to the Exchequer
Dana Lewis
1555 Floyd
Jackson, MI 49201