Registration Closed
Name:Address:
Phone
Number: 
Email:
1 Genealogical/Historical OR Lineal Organization (for nametag):
Preferred Roommates (optional):
I am handicapped (for dorm reservation purposes only)
____ Standard Full Retreat Package @ $150.00 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) to PayPal = $______________
Until October 1, 2005 - as available
____ Day Tripper (1 day) Offer @ $80.00 each = $_______________
Until October 1, 2005 - as available Refunds
for either package (minus $10.00 administration fee)
available through April 1, 2005.
Canceled reservations after
this date are eligible for a small portion refund.
NO
SHIPPING OR HANDLING FEES NEEDED
Page Last Updated:
December 21, 2017