Maryknoll Affiliates Western Regional Conference 2015

Love in Action - Mission on the Margins                                                                     afterConference fee* for:       Early-Bird         June 30 **    Double – per person             $220.00         $250.00     Single                                    $250.00         $280.00     Commuter (no lodging)         $150.00         $180.00 * Conference fee includes lodging Friday and Saturday night, Friday dinner, three meals Saturday and Sunday breakfast as well as one tee shirt per registered person. ** Registrations received after June 30th are subject to availability. Please remember to print and mail the registration confirmation page with your check or money order for the total conference amount. Mail to Al Drinkwine and note Maryknoll Affiliates Conference on the memo line to:     Al Drinkwine     14004 119th Ave NE      Kirkland, WA  98034   Optional fees - to be paid for at time of check-in with cash or checks made out to Seattle University:  - Room fans are available for an additional fee. Seattle temperatures are usually in the high 70s to low 80s in August.  - Additional nights' lodging may be available. Please note which additional nights you want to stay on the registration form. These nights need to be paid for separate from the registration.   We will send additional conference details upon receipt of your completed registration form and payment. Your registration will not be considered complete until your payment has been received.   If you have any questions or comments, please contact Al Drinkwine, Registrar at 425-821-1737 or send an email to AlDrinkwine@outlook.com. We look forward to your attendance and participation at the conference!  
1) Title
 
1) First Name *
 
1) Last Name *
 
2) Title
 
2) First Name
 
2) Last Name
 
Street Address *
 
City *
 
State *
 
Postal Code *
 
Affiliate Chapter *
 
Phone (include area code or country code) *
 
Include my contact information on lists distributed to other attendees. *
 Yes
 No
Email Address *
 
Conference fee* for:         Early Bird                                  After June 30th *
 Double Occupancy
 Double Occupancy - $250 x 2 - after June 30th
 Single Occupancy
 Single Occupancy - $280 - after June 30th
 Commuter (no lodging)
 Commuter (no lodging) - $180 ea - after June 30th
Days Attending *
 Friday
 Saturday
 Sunday
Vegetarian meals *
 No
 Yes
Additional nights requested (payment due at check-in)
 Aug 4 (Tue)Aug 5 (Wed)Aug 6 (Thu)Aug 9 (Sun)Aug 10 (Mon)Aug 11 (Tue)
Double Occupancy ($36 pp/per night)
 
 
 
 
 
 
Single Occupancy ($50 pp/per night)
 
 
 
 
 
 
Number / size of tee shirts
 SmallMediumLargeXLXXLXXXL
Quantity      
List any special considerations