Registration

Revised 05/28/08

MBC Spring Foray 2003 Registration Form

Name(s) _____________________________________________________

_____________________________________________________________

Address____________________________________________

City __________________ State_________ Zip _________

Phone __________________ Email _____________________

MBC chapter membership:
___HVC ___RCC ___SEC ___SWC ___WPC ___State ___None

Registration fee (all participants must pay the registration fee. It is non-refundable.):
	$20.00 per person	number ______	$_________

Dorms – 3 nights
	$70 per person (double occupancy)	number______	$_________
	$100 per person (single occupancy)	number______	$_________

Meals – 8 meals plus evening snacks
	$60.00 per person	number______	$_________

Trip to Manitou Island (optional trip)
	$32.00 per person (non-refundable deposit)	number ______	$ __________

If you are a full-time college or graduate student, your total cost is ½ of your individual cost.
To qualify for this discount, please include a photocopy of your student ID.

* Up to two children under age 10 can stay in the same room as parents without additional
room costs, although no additional beds are provided

** If you stay in the rooms, you must also pay for the meals. You may, however, sign up
for the meal plan even if you don’t stay in the rooms.

Make check payable in U.S. funds to:
Michigan Botanical Club – White Pine Chapter

Mail this form and payment before May 8, 2003 to:

    Bobbi Sabine, MBC Foray
    703 Lake Ave.
    Grand Haven, MI 49417-1715

*********NO REFUNDS AFTER MAY 12, 2003**********

Declaration: (each person must sign and date)

I assume all responsibility for my health and safety while on the MBC 2003 spring foray.
Signature(s) and date(s):

____________________________________________________________

If you have a preference, please name the participant(s) with whom you plan to share a bedroom.

_____________________________________________________

In making room assignments, we will make every attempt to recognize your preferences, but it may be necessary to make rearrangements to fit everyone in. Please call or email Bobbi Sabine if you have any concerns - aamazonwoman@juno.com (616) 842-7975

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