5th Annual West Coast Michael Gathering -- Nov. 3-6, 2016 at IONS EarthRise Center
Your Name_____________________What form for your name on name tag? _____________Address ____________________________________________________________________
Phone ____________ Cell _____________ Email ________________________________
Emergency Contact name __________________________ Phone(s)______________________
Food/Diet preferences or allergies the kitchen should know about?________________________
______________________________________________________________________________
Preferred choice(s) for roommate? ______________________
Expected time of Arrival? _________ Do you need a ride?__________
Will you be able to walk between the dining hall and the meeting room/dorms area (5-7 minute walk including a hill) _____ or will you need to drive or be transported? ______
Anything else you would like us to know about? ___________________________________
The prices for meals, lodging and day use below include all taxes and $70 (if received by Oct. 2) per person for use of meeting rooms, event insurance, printing and supplies, and other general expenses. ($95 after Oct. 2)
Staying on Campus:
Lodging and all meals (Dinner your first night through Lunch Sunday):
1 night Double Occupancy (each) -- mark which: ..Th___ F___ Sa___ 221
1 night Single Occupancy -- mark which:…………Th___ F___ Sa___ 286
2 nights Double Occupancy (each) -- mark which: Th___ F___ Sa___ 372
2 nights Single Occupancy -- mark which:………. Th___ F___ Sa___ 497
All 3 nights Double Occupancy (each).......................................................523
All 3 nights Single Occupancy…...............................................................697
Day attendees: including all meals*** -- 1 day F or Sa --: F___ Sa___....136
1 day -- Sunday only......(includes no dinner)…………………..................106
2 days -- F and Sa but not Sun..........................…………………………...202
2 days -- F__ or Sa__ and Sun. (no dinner Sunday)………………...........172
All 3 days..(no dinner on Sunday)……………………………...................238
Pick whichever package above applies.........…….....................................________
Adjustments for meals, (see below***)……………….…………….<less>________
Donation for Presenters (explained on Registration page).....………..….________
Donation for Gathering.......................................................………..........________
Add $25 if we receive after Oct. 2…………………………………...…..________
Grand Total ……………………………………………………………...________
*** 3 meals a day except no dinner Sunday. Meals are one hour starting at 8:00, 12:30 and 6:00. If you will skip breakfast (this is for day attendees only) (and we tell IONS 7 days in advance) deduct $15 each breakfast. Overnight: if you will arrive too late for dinner your first night, deduct $30.
Make check to Ed Hamerstrom, 1655 Carson Woods Rd, Fortuna, CA 95540, or use PayPal “Friends
and Family” to metasyn@aol.com. (This is not a business.) Please send the form or the basic info on it by mail or email. Payments are due by Oct. 1st, when we have to supply final info on our number of people and rooms. After that date probably no refund unless someone else takes your place.
