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Revised 02/27/08 |
MBC Spring Foray Registration May 25 – 28, 2007 ROOM RESERVATIONS – Ramada Inn and Convention Center, Ludington, MI. Limit 120 Participants You must make room reservations on your own. See the Accomodations web page for details. FORAY RESERVATION – This form and payment must be received by May 1, 2007. Make checks payable to Michigan Botanical Club – HVC. Mail to: Joanne Cantoni Phone: 248-932-5370 (9am-9pm) 29640 Middlebelt, #2604 Email: joannecantoni@netzero.net Farmington Hills, MI 48334 Adults Registering (First & Last Name) Children Registering (First & Last Name) / Ages #1____________________________________ #4______________________________ _______ #2____________________________________ #5______________________________ _______ #3____________________________________ #6______________________________ _______ Address ____________________________________ City ___________________________ Zip_________ Phones _____________________________________ Email _________________________________________ MBC Chapter Membership: _____HVC; _____RCC; _____SEC; _____SWC; _____WPC; _____Special I am a full scholarship sponsored student from the above chapter _____ FORAY FEES Number Fee Subtotal Registration Adult ______ x $25 $ ______ Students ______ x 0 $ _____ Children and youth (under 16) ______ x 0 $ _____ Meals Adult meals package for entire weekend ______ x $110 $ ______ (Includes 3 breakfasts, 3 box lunches and 2 buffet dinners)
Child (6-11 years are half price) meal package for weekend (No charge for children 5 and under ) ______ x $55 $ ______
Canoe Fee (Saturday Pere Marquette River field trip) ______ x $16 $ ______
TOTAL AMOUNT PAYABLE & ENCLOSED (taxes & gratuities are included in fees) $ ______
Names of persons requesting vegetarian lunches: ____________________________________________________ Health and Safety Declaration which each person over 18 must sign and date: “I assume all responsibility for my health and safety while on the MBC 2007 Spring Foray.” (Parents are responsible for children under 18) Signature (1) _____________________________________________ Date _____________ Signature (2) _____________________________________________ Date _____________ Signature (3) _____________________________________________ Date _____________ FIELD TRIP REGISTRATION – Must be filled out to request a place on field trips Pre-selecting your preferred field trips and workshops is part of Foray registration. For each day of participation, please indicate each person’s 1st, 2nd and 3rd choices. Please number the columns to correspond with the participant's number on the reverse of this form. Field trips assignments are first come, first served. Your personal field trip schedule will be waiting for you when you check-in.
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