Great Lakes Regional World Camp '98

YMCA Camp Potawotami
August 16th - 22nd, 1998

Request for Information Form
last updated December 7, 1997

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Please fill in the boxes below and then click on the literature that you would like to receive concerning World Camp '98 or YMCA Camp Potawotami. Note that the boxes marked with a double-asterisk (**) MUST be entered so that this form can be processed successfully. Thanks.

Hint: Move your cursor to the inside of each box, click, then start typing. When you're done typing inside the box and want to move to the next box, press the TAB key or move your cursor to the next box and click. DON'T press the ENTER key, because that is the same as clicking on the "Send Request" button at the bottom, and it may send off this form for processing before you're done completing it.

Name --------------- **

Address Line #1 ---- **

Address Line #2 ----

City & State --- **, ** .. Zip (+4 if known) --- ** -

Area Code, Phone Number -- () - -

E-mail Address --- **

Information to be Sent

Please click on the checkbox(es) for the information being requested:

Comments? Questions?

Please type in your feedback below:

This will send an e-mail message to the World Camp Committee Chair with your request(s) and/or comments.
This will clear all the above info entered so you can start over.