REGISTRATION FORM
40TH ANNIVERSARY GRAND INGATHER
July 18 - 20, 2008
At Four Springs Retreat Center
ONLY 8 more registrations are needed to make this event a reality! Register NOW
and tell your NROOGD friends!
INITIATE INFORMATION
Legal Name
NROOGD Craft Name
NROOGD initiate (yes/no)
Current NROOGD Coven (If any)
Coven in which you recieved your White Cord
I am bringing an uninitiated partner
I am bringing (number of children)
DEDICANT INFORMATION
My study group or current coven is
Contact information for my NROOGD teacher is
Dedicants: If you are planning to bring a spouse or children please contact Debroah Bender below before registering.
CONTACT INFORMATION
Primary Contact Phone #
Primary contact e-mail
Primary mailing address
HOUSING PREFERENCE
Will be tenting No tents will be provided, you must supply your own. Will be sharing cabin (yes/no)
GENERAL INFORMATION
I subscribe to nroogdelders@yahoogroups.com (Yes/No) I have initiate or elder access to nroogd.hyperboards.com (Yes/ No)
I am interested in helping with scholarships for others
I must apply for a scholarship in order to attend
$110 full price
$50 deposit
The above price does not include meals. The meal plan will be worked out and attendees will be notified of cost at a later date. It is our intention to keep the total price of attendance at or under $200 per adult.
PLEASE NOTE:
You are not registered until funds are recieved. You may pay electronically by credit card, or Pay Pal below
OR:
Make check or money order out to: Deborah Frankel. Put "Ingathering" on memo line and mail directly to: Deborah Frankel 13B San Rafael Avenue San Anselmo, CA 94960
Should you have any questions please contact Deborah at dbendr@aol.com
f you would like to pay electronically, please do so BEFORE hitting
If you have problems with electronic payment contact Auntierw@yahoo.com or PayPal directly.