-------------------------------------------------------------------------------
Registration Form
IV PORTUGUESE 
JUGGLING CONVENTION
5th to 8th October 1995
Parque Municipal Oeiras (Cascais)

Name:..........................................................................
Other Names (in Group):........................................................
...............................................................................
Address:.......................................................................
Postcode:.................................   
Country:..................................
Telephone:................................   
Fax:......................................

Do you want to reserve a bedroom in Centro de Ferias do INATEL?
(300m from meeting place)

__ Yes
__ No          
__ Camping

If Yes           __ Single        Esc: 5.000$(*) 
                 __ Double        Esc: 6 700$(*)  
                 __ Triple        Esc: 7 900$(*) 
                 __ Quadruple     Esc: 9 100$(*)  
(*)These prices are usual, per night. We are trying a discount with INATEL.

Inscription includes:
* Use of Camping site (bringing personal tent, caravan or van)
* Use of showers, lights, water.
* Discount meals inside the park with associated restaurants.
* Discount food from supermarket.
* Entrance to all workshops and shows.

Creche required for (number)........  children age.......
I will require........car permits.
I can offer help in:
__ Stewarding
__ Workshops        
__ Performing
__ Other
(Please give details on a separate sheet)

Event opens 3pm on 5th October 
Inscription:
Adult            Esc. 3.000$ 
Children (u14)   Esc. 1.500$

Pease return this form to:
Chapito 
Costa do Castelo, no 1/7 - 1100 Lisboa - Portugal
Tel.: (351 1) 887 82 25 / Fax: (351 1) 886 14 63
or email it to
pcruz@individual.puug.pt
-------------------------------------------------------------------------------