Faerie Camp Destiny - Media Plan-it Contact Page -

Media Plan-it Contact Page

Please provide the following information to be added to our lists.

If you have any questions please email us. If you'd like to be in touch via mail send correspondence to Faerie Camp Destiny, P.O. Box 517, Chester VT 05143-0517.

Required fields (*)

General Info

First Name (*)

Faerie Name or Nick Name

Last Name (*)

Email (*)

Partner's First Name

Partner's Last Name

Home Address (*)

City (*)

State / Province (*)

Zip Code+4 or Postal Code (*)

Country (if other than USA)

Please select a region from this pull down list (*)

Telephone #1

Telephone #1 Notes

Telephone #2 (cell, work, etc)

Telephone #2 Notes (cell, work, fax, etc)

Email #2

Gender (*)

Get mail from Faerie Camp Destiny (*)

Yes No

Do you wish to receive the Desiny STAR via email notification? No paper copy will be sent. (*)

Yes No

Do you wish to receive gathering calls and other mail from Destiny via email? No paper copy will be sent. (*)

Yes No

Click if you'd like to get mail for other Northeast gatherings, like Blue Heron or other regional events (*)

Yes No

Is this information a correction to your address? Please check

Correction

Please feel free to leave any comments as well.

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