.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 #__________
___ SUPER EARLY BIRD
___ New member application and Conference Registration
___EARLY BIRD . . . . . . . . . . . . . . .. . . . . . . . .
. . . . . . . . . .
___ New member application and Conference Registration
__ New member application and Conference Registration
ONE-DAY REGISTRATION
|
COST
$100 ____
$110 ____
$135 ____
$120 ____
$145 ____
$160 ____
$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.
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