October 7-10, 2011 Retreat Registration Form
Name: |
|
Address: |
|
City: |
|
State: |
|
Zip: |
|
Country: |
|
Phone: |
|
Fax: |
|
E-mail: |
|
Name as it should appear on your name tag: |
|
I will be sharing a room with (if known): |
|
| Registration | ||
| Option | Cost | Qty (please enter) |
Option 1 : Cost per person (sharing room with two queen beds, 3 nights accomodation, all meals, stitcher package) |
$699.00 | |
Option 2 : Cost per room - Sole occupancy room (one stitcher/one queen bed ), 3 nights accomodation, all meals, stitcher package). If you will be accompanied by your non-stitching spouse or companion then you must also choose Option 4 below. |
$799.00 | |
Option 3 : Commuter - cost per person (stitcher package, all meals excluding breakfast) - this package does not include any accommodation. |
$499.00 | |
Option 4 : Meal package only (this package is only available (and is compulsory) to a non stitching companion/spouse sharing with a stitcher in a Sole occupany room) |
$150.00 | |
Option 5 : Additional night accommodation per person (night before retreat) - sharing with one other person |
$55.00 | |
Option 6 : Additional night's accommodation per room (night before retreat) - sole occupancy room |
$110.00 | |
Total Amount |
$0 | |
Payment Options |
||
I would like to pay $150 deposit now and the balance on August 24, 2011. |
$150.00 | |
Charge my credit card 3 payments of $0.00 each, at monthly intervals. |
$0.00 | |
Charge my credit card 2 payments of $0.00 each, at monthly intervals. |
$0.00 | |
Charge my credit card for the total amount now. |
$0.00 | |
Additional Comments: |
||