"REGAL SISTERS @HEART FUN-vention Registration Form:"

There needs to be one {1} form filled out for each person in the room.

Complete and return with payment:

General information: Arrival Date: _________ Depart: __________

Name________________________________________________________

Address______________________________________________________

City__________________________ State______ Zip Code________

Phone # { }________________Cell# { }__________________

E-mail_______________________________________________________

Red Hat Information:

Red/Pink Hat Name ___________________________________________

Queen's Name_____________________________ Chapter ID#________

Chapter Name________________________________________________

Red Hatter____ Pink Hatter____ Purple Hatter _____{if Sept. is your birthday month}

Emergency contact________________________ Phone#_____________

Rooming Information:

rates: 2 per room: $ 345.00 per hatter

3 per room: $ 280.00 per hatter

4 per room: $ 250.00 per hatter

add'l nights $ 185.63 for room only no meals included.

Number of room mates: _____

Room Mates:

1}___________________________________________________________

2}___________________________________________________________

3}___________________________________________________________

Minimum Deposit $50.00 per person Non Refundable due with registration.

Deposit paid of$ ______ Date:___________

Please notify us by email of your flight information so we can have the free shuttle meet you at the airport.

Additional nights are available:

September 18th "I Just Can’t Wait Fun Day" __________

September 21st "But I Don’t Want To Go Home Day"_________

You can decided now or at a later date.{contact us for additional room rate}

Special needs:

Handicap room: ____

Allergies: __________________________________________________

_____________________________________________________________

Medical Conditions:____________________________________________

_____________________________________________________________

Dietary Needs:_________________________________________________

We will try to accommodate your special needs...

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Please mark meal choice for the "Feather and Glitz Feast"

There can be NO changes after we receive your registration form.

___ Salmon ____ Pork Loin ____Vegetarian

We will not exclude any food items from menu or dining area. This would not be fair to others that might enjoy them.

Mail registration form and payments to:

Sharon Oglesbee (Queen Bee Sharona)

P.O. Box 48

Westville, Oh 43083

DEADLINE: June 30,2008 PAYMENT due in full!!