2018 Escape

Approved Speaker Registration Form
Click here for a type, print and mail version - PDF.

Please send form and payment to:
Gregath Co., PO BOX 505, Wyandotte, OK 74370.  

EXPIRED

Name: ___________________________________________________________________________

Address: _________________________________________________________________________

Phone Number:_______________________________ 

Email: ________________________________  

1 Genealogical/Historical OR Lineal Organization (for nametag): ________________________________

Preferred Roommates (optional): _____________________________________________________________________________________________  

_____________________________________________________________________________________________  

Non-retreat roommate(s), if applicable: ________________________________________________________

Surnames Researching (for sourcebook): ________________________________________________________

Person/Organization for referral (optional): _____________________________________________________________________________________________

______  I am handicapped and have cleared arrangements with _________________________
(for reservation purposes only)

Email: ________________________________  

Website/Blog: ________________________________  

Note any electronic contact information provided may be used online and in PR

Presentation Equipment Requested (podium, digital projector and screen already in room, computer if requested):

_____________________________________________________________________________________________  

Comments (include your biographical information for PR):

_____________________________________________________________________________________________  

_____________________________________________________________________________________________  

_____________________________________________________________________________________________

Speakers cannot provide referral bonuses for others - though they are eligible for unlimited referral bonuses for attendees they refer.  

_____ Early Bird Retreat Package @ $235.00 each until October 1, 2018  - EXPIRED

_____ Retreat Package @ $250.00 each until February 1, 2018  - as available

_____ Golf Combination Package @ $250.00 each pricing until February 1, 2018  - as available

_____ Spa Combination Package @ $250.00 each pricing until February 1, 2018  - as available

_____ Package Single or +1 Supplement @ $60.00 until February 1, 2018 - as available

_____ 18 Hole Golf Rounds @ $40.00 each until February 1, 2018 - as available

_____ Nee Spa Day Lounging Pass @ $40.00 each until February 1, 2018 - as available

_____ Nee Spa Half-Day Lounging Pass @ $20.00 each until February 1, 2018 - as available

_____ MonDay Escape @ $100.00 each until February 1, 2018 - as available

_____ TuesDay Escape @ $100.00 each until February 1, 2018 - as available

_____ Package Extra Night(s) @ $120.00 (per room/night) until February 1, 2018 - GCI pre-approved only

_____ Retreat Repeat Discount SUBTRACT $5.00 from total until February 1, 2018

Enclosed is $_______________: This is full payment or  $75.00 down payment (please circle one)

Canceled reservations are eligible for a small portion refund.

Ask about our referral bonus and/or our payment options.

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NO SHIPPING OR HANDLING FEES NEEDED
Page Last Updated: February 07, 2018