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Genealogy in the
Woods 2005 Retreat

October 21-23, 2005

Registration Closed

Information provided here will be used for ongoing PR so please send this in with payment ASAP.
Please send form and payment to:
Gregath Co., BOX 505, Wyandotte, OK 74370.  

Name: ___________________________________________________________________________

Address: _________________________________________________________________________

Phone Number:_______________________________ 

Preferred Roommates (optional): _____________________________________________________________________________________________  

_____________________________________________________________________________________________  

______  I am handicapped (for dorm reservation purposes only)

Email: ________________________________  

Website: ________________________________  

(___) Yes! You may use my Web contact information online and in the Syllabus.
(___) NO Do Not use my Web contact information online and in the Syllabus.

Speaking Topic/Requested Time Period - 1 hour before Q&A minimum (i.e. 1.5hr, 2hr, etc.): _____________________________________________________________________________________________  

Presentation Equipment Requested:

_____________________________________________________________________________________________  

Comments:

_____________________________________________________________________________________________  

_____________________________________________________________________________________________  

_____________________________________________________________________________________________  

Please also include biographical information and a photo.

Prices include Speaker Discount

____ Standard Full Retreat Package    @ $125.00 each  = $______________

____ 5 person room accommodation supplement    @ $10.00 each  = $______________

____ Quad (4 person) accommodation supplement    @ $21.00 each  = $______________

____ Triple (3 person) accommodation supplement    @ $42.00 each  = $______________

____ Double (2 person) accommodation supplement    @ $84.00 each  = $______________

____ Single (person) accommodation supplement    @ $210.00 each  = $______________

Total (per person) Enclosed  = $______________

Until October 1, 2005 - as available

____ Day Tripper (1 day) Offer  @ $55.00 each  = $_______________

Until October 1, 2005 - as available

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NO SHIPPING OR HANDLING FEES NEEDED
Page Last Updated: December 21, 2017