registration form :: winterstar 21 :: february 26-29,
2004 :: atwood lake resort
return to registration info :: pay on-line
Please print and use seperate form for each registrant. Copy if necessary. Pre-registration DEADLINE is February 13, 2004.
Legal Name _____________________________________
Street __________________________________________
City ____________________ State ______ Zip ________
Eve. Phone ______________ E-mail _________________
First Winterstar? _____ Ever been to Starwood? ______
|
Symposium fees: |
|||
| Non ACE Members | Before 2/13/04 | $90.00 | $ _____ |
| At the door | $100.00 | $ _____ | |
| ACE Members | Before 2/13/04 | $75.00 | $ _____ |
| At the door | $85.00 | $ _____ | |
| ACE Membership Save $15 on Winterstar! |
New? ___________ Renewing? ______ |
$65.00 | $ _____ |
| Saturday Night Banquet | $25.00 | $ _____ | |
| Merchant's fee (Must be paid attendee) | 1 table per merchant | $50.00 | $ _____ |
|
Friday and Saturday Accomodations |
Smoking? ______ No Pref? ______ |
Non Smoking? _____ | |
| Double Bedroom in cabin | (Max occupancy 2) | $120.00 | $ _____ |
| Day bed in cabin | (Max occupancy 1) | $ 50.00 | $ _____ |
|
Add Thursday |
|||
| Double Bedroom in cabin | (Max occupancy 2) | $ 40.00 | $ _____ |
| Day bed in cabin | (Max occupancy 1) | $ 25.00 | $ _____ |
|
Winterstar 2004 Total : |
$ _____ | ||
|
Lodge Accomodations: |
Staying in Lodge? Let us know _________ | ||
| Reserve Room(s) through Atwood | 1-800-362-6406 | ||
| Mention you're coming to Winterstar and get your special Winterstar discount! | |||
You may now: pay with VISA or Master Card. Please fill out the following:
Card # __________________________________
Expiration Date: ____________
Signature: _________________________________
Card Holder Zip: __________
Or: Register On-line at: www.rosencomet.com/winterstar/2004/payonline.html
Or: Charge by phone using the numbers provided below,
Or: Send a check or Money Order payable to ACE, Inc. to:
Association for Consciousness Exploration
Attn: W-star Registration
1643 Lee Road, #9
Cleveland Heights, OH 44118
registration@rosencomet.com
| (216) 932-5421 | 1 (800) 446-4962 | Fax: (216) 932-4973 |