| Name: _______________________________________________
Phone (day): _________________ |
| Address: _____________________________________________
Phone (eve): _________________ |
| City: ___________________________________________
State: _______ ZIP: _________________ |
| E-Mail Address: ____________________________
Club Affiliation (if any): ____________________ |
| Birth Date: ____/____/______. I would
like to be listed in the Gathering directory: YES____ NO____ |
| I would enjoy hosting out-of-town CMEN
members at my home: YES_____ NO_____ ASK_____ |
| I have been to previous CMEN West Coast
Gatherings (number of): FALL: _____ SPRING: _____ |
| Session: |
Dates: |
Price: |
| Full 9 Day Gathering
|
Sept. 16-25 |
sold out |
| Weekend Session |
Sept. 16-18 |
sold out |
| Full Week Session |
Sept. 18-25 |
sold out |
| Half Week Session |
Sept. 18-21 |
sold out |
| Half Week Session |
Sept. 21-25 |
sold out |
| Pre-gathering Session & Setup |
Sept. 12-16 |
sold out |
| Options: |
Amount: |
| Session selected: ___________
Dates selected: arrive: ________ depart: ________ |
. |
| Optional pre-gathering
session and setup Sept. 12-16 (add $95.00) |
. |
| Optional upgrade to
2-person rooms (weekend add $99.00, full week add $345.00) |
. |
| Optional upgrade to
Hillel House (add $8.00 per night) |
. |
| Optional upgrade to
Field House (add $20.00 per night) |
. |
| Optional transportation
to/from LAX - check schedule (add $25.00) |
. |
| Optional rental of
2 sheets, 1 blanket, 1 pillow, 1 pillow case, 1 towel (add $34.00) |
. |
| Optional donation
to "Scholarship Fund" |
. |
| Prepaid Gratuities
for Conference Center Staff |
$5.00 |
| Membership in CMEN
International for year 2005 (required) |
$0.50 |
| TOTAL DUE: |
. |
$75
deposit holds your place. If booking "Motel" $150
deposit is required. Balance due July 15, 2005. Deposit is nonrefundable,
but is transferable with written notification by Sept. 1, 2005. Refund policy:
Before July 1, 2005, Full refund less $75 deposit. After July 1, 2005, no
refunds for any reason.You must be at least 21 years old to attend this event.
To Register, Please Print and Mail This Form With
Your Check To: CMEN, 8424-A Santa Monica Blvd. #119, West Hollywood,
CA 90069. Make Checks, payable in US Dollars, to: CMEN.
Listed prices reflect discount for check or cash, credit card prices 4 percent
higher. Credit card charges will appear as West Coast Gathering.
Attendees are welcome to share their skills and experience by presenting
a workshop or activity.
For more information visit www.cmen.info or call toll-free: 1-877-NUDIST-1
(1-877-683-4781). |
