Klingon Makeup Class Registration Form
August 10th, 2008  10AM   
@ Star Trek: the Experience / Captain’s Lounge in Quark’s

Name__________________________________________________________________

E-Mail Address_________________________________________________________

Phone(Day)_________________________(Evening)__________________________

Male_______  Female_______  (needed for proper supplies only)

You will be contacted by E-mail or Phone to confirm your place in class.

Registration/Class Fee:  $50.00 (non-refundable)

Method of Payment:
___Enclosed is my Check or Money Order  
(Made Payable to Star Trek: the Experience)
___Please charge to my ___ MasterCard ___Visa ___Discover ___AMEX

Card Number _________________________________________Exp Date________

Card Holder Signature__________________________________________________

Name__________________________________________________________________
(as it appears in your credit card statement)
Address________________________________________________________________

City / State / Zip________________________________________________________

Mail or Fax Registration to:

		Star Trek: the Experience            	FAX #:  1-702-697-8769
		c/o  Chad Boutte				
		3000 South Paradise Road		Information E-Mail:
		Las Vegas, NV  89109-1287		lynn.sterling@paramountparks.com

We look forward to seeing you!