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Revised 02/27/08 |
MBC SPRING
FORAY REGISTRATION FORM Reservation form plus check must be received by May 6, 2005. Room reservations must be made separately by calling the Holiday Inn, Troy at (248) 689-7500 before May 13, 2005. No refunds will be made after May 13. Make checks payable to Michigan Botanical Club - SEC. NAME(S) of Adult reservation(s)________________________________________________ NAME(S) and AGES of accompanying
children____________________________________ ADDRESS__________________________________________________________________ CITY___________________________________ STATE_______ZIP + 4________________ PHONE_____________________________E-MAIL_________________________________ MBC Chapter membership: _____ HVC _____RCC _____SEC _____SWC _____WPC _____ State _____ None I am a full scholarship sponsored student from the above chapter _______ FORAY FEES Number Fee Subtotal___ Registration Fee for entire weekend ______ x $25.00 $_______ (Everyone 16 years and older must pay, except college students) *Student rate for meals and registration ______ x $45.00 $_______ for entire weekend Adult meals package for entire weekend ______ x $105.00 $_______ (Includes 3 breakfasts, 2 box lunches and 2 buffet dinners) Child (10 and under) meals package for weekend ______ x $75.00 $_______ Single day adult registration and meals ______ x $55.00 $_______ (Includes box lunch and buffet dinner) (circle one: Saturday - Sunday) *Single day student registration and meals ______ x $35.00 $_______ (circle one: Saturday - Sunday) Single day child (10 and under) meals ______ x $25.00 $_______ (circle one: Saturday - Sunday) Walpole Island Trip (optional Monday AM) ______ x $20.00 $_______ Huron River Canoe Trip (optional Monday AM) ______ x $22.00 $_______ ______________________________________________________________________________ TOTAL AMOUNT ENCLOSED $_______ *Discounted rate for full time currently enrolled college students not attending as student scholarship awardees. Please provide a photocopy of valid student ID with registration. Students must make their own room reservations with hotel. 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 2005 Spring Foray." (Parents are responsible for children under 18) Signature (1)____________________________________________Date___________________ Signature (2)____________________________________________Date___________________ Mail to: Kathleen Thomson,
Registrar Telephone: (248) 435-2070
FIELD TRIPS We are asking you to request your preferred field trips and workshops as a part of your registration. For each day in which you plan to participate, please indicate each person's 1st, 2nd, and 3rd choices to the left of the title with their initial. Field trip assignments are first come, first served, with priority given to MBC members in good standing. Your personal field trip schedule will be waiting for you when you check-in.
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