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Registration ![]() "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... ******************************** 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!! |
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