I would like to register for the Westar 2008 Summer Institute (register online
):
| Mail-in Registration Form |
Member |
Non
member |
Subtotal |
| Become a Westar member and register at the member price. |
n/a |
$45 |
|
| Single registration & accommodations* |
|
|
|
| one adult, one registration, shared room |
$1,200 |
$1,250 |
|
| one adult, one registration, private room |
$1,550 |
$1,600 |
|
| |
|
|
|
| Discount for registration by March 8 |
-$50 |
-$50 |
|
| |
|
|
|
| Family registration & accommodations* |
|
|
|
| two adults, two registrations, one room |
$2,300 |
$2,350 |
|
| two adults, one registration, one room |
$1,750 |
$1,800 |
|
| two adults + one child, one registration, one room |
$1,800 |
$1,850 |
|
| two adults + two children, one registration, one room |
$2,100 |
$2,150 |
|
| |
|
|
|
Discount for registration by March 8 |
|
-$50 |
-$50 |
|
| |
|
|
|
| Registration only |
|
|
|
| One adult, includes bonfire and hospitality |
$650 |
$700 |
|
| |
|
Total |
|
*Includes meals.
Name (badge 1)____________________________________________________
Name (badge 2) ___________________________________________________
Address___________________________________________________________
City_______________________ State_______________ Zip _____________
Country_____________________E-mail________________________________
Check or money order enclosed, payable to Westar Institute
(U.S. dollars drawn on a U.S. bank only)
Please bill my Visa MasterCard Discover AmEx
Card Number
Security Code (Visa)__________________________________________
(the last three digits in the signature block on the back of the card)
Exp. Date Signature
Day Phone
Print, complete, and mail or fax this form to:Westar Institute P.O. Box 7268 Santa Rosa, CA 95407
tollfree (877) 523-3545, (707) 523-1323, fax (707) 523-1350 email events@westarinstitute.org Copyright |