registration form :: winterstar 23 :: february 23-26, 2006 :: atwood lake resort
return to registration info
:: pay on-line

Please print and use seperate form for each registrant. Copy if necessary.
Pre-registration WITH cabin space DEADLINE is January 23, 2006.
Pre-registration WITHOUT cabin space DEADLINE is February 13, 2006

Legal Name _____________________________________
Street __________________________________________
City ____________________ State ______ Zip ________
Eve. Phone ______________ E-mail _________________
First Winterstar? _____ Ever been to Starwood? ______

Symposium fees:
 
Non ACE Members Before 2/13/06 $100.00 $ _____
  At the door $110.00 $ _____
ACE Members Before 2/13/06 $85.00 $ _____
  At the door $95.00 $ _____
ACE Membership
Save $15 on Winterstar!
New? ___________
Renewing? ______
$65.00 $ _____
Merchant's fee (Must be paid attendee) 1 table per merchant $60.00 $ _____
Friday/Saturday Accomodations - Deadline 1/23/06
Smoking? ______
No Pref? ______
Non Smoking? _____
Double Bedroom in cabin (Max occupancy 2) $130.00 $ _____
Day bed in cabin (Max occupancy 1) $ 50.00 $ _____
Add Thursday
 
Double Bedroom in cabin (Max occupancy 2) $ 60.00 $ _____
Day bed in cabin (Max occupancy 1) $ 25.00 $ _____
Winterstar 2006 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/2006/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