Celtic Women International                               .Celtic Women International

2002 CONFERENCE REGISTRATION FORM

Please use a separate form for each person

3 WAYS TO PAY:

1. By COMPLETING OUR SECURE ONLINE APPLICATION FORM and paying by PAYPAL

2. By FAXING this completed form with credit card information to 414-257-3705 (Copy and Print out if paying by faxing credit card info)

3. By MAIL  Print this form, complete it and send it with checks or money order made payable to Celtic Women International and mail to:

Celtic Women's Conference, P O Box 1384, Milwaukee WI 53201-1384  USA
Your registration will be acknowledged.

Check Below

___ CWI  Member  CWI ID #__________
        Postmarked no later than June 30. . . . . . .. . . . . . . . . . . . . 
       Postmarked July 1 - August 25 .. . . . . . . . . . . . . . . . . . . . .

___ SUPER EARLY BIRD
       Postmarked no later than May 31. . . . . . . . . . . . . . . . . . . .

___ New member application and Conference Registration
        No later than May 31. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

___EARLY BIRD . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .
       Postmarked June 1 - August 25

___ New member application and Conference Registration
        Postmarked June 1 - August 25. . . . . . . . . . . . . . . . . . . . .
___ REGULAR REGISTRATION full conference. . . . . . .

__ New member application and Conference Registration
        Postmarked  after August 25. . .   . . . . . . . . . . . . . . . . . . .

ONE-DAY REGISTRATION
One-day registrants may also attend the Thursday evening reception.
___ FRIDAY. includes 8:00 p.m. concert................................. 
___ SATURDAY.................................................................... 

COST
 

$100 ____
$110  ____
 

$110 ____
 

$135 ____
 

$120 ____
 

$145 ____
$135.____
 

$160 ____
 
 

$75._____
$75._____

WORKSHOPS on Thursday October 11 must have individual registrations.  Attendance is limited. To take a workshop you must be registered for the conference.
Workshop fees carried over from registration form                          $_______

CONCERT TICKETS         (#___________)            $15.00 each_______

Public Celtic Concert Friday at 8:00 p.m. Concert included for registrants

AMOUNT ENCLOSED $____________

NAME__________________________________________________________

STREET_______________________________________________APT______

CITY___________________________________________________________

STATE_____________ ZIP_________________ COUNTRY______________

HOME TELEPHONE (_______)_____________________________________

Celtic Heritage, if applicable __________________________________________

If you have any questions about the Conference, please telephone Jean Bills at 414-257-3770 days.


Contact Details
Celtic Women International, PO 371174, Milwaukee, WI 53237-2274
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