Registration Form!
Love Welcomes All,
Interweave Convo 2003, Kansas
City
>Please complete both sides of this form and mail
it off to: Convo 2003, All Souls UU Church, 4501 Walnut,
Kansas City, MO 64111.Or register (and pay!) online at
allsoulskc.org
>Each registration will be confirmed as soon as
it is processed. Registrations received after Feb. 5th will be con-
firmed on site.
>All cancellations are subject to a $25 fee.
Cancellations must be received in writing, by Jan. 22nd, in order to
receive a refund. No other refunds will be made for any reason, including
weather-delayed travel!
>This is a non-smoking venue.
>If you have questions or need more info, contact
Claudine Thomas at 816-333-9810 or
claudine.thomas@worldnet.att.net
Personal Information
Name_______________________________________Address_________________________________________
City____________________________________
State/Prov._______ Zip/Post Code______________________
Home Phone___________________Work
Phone________________Email______________________________
Church/Fellowship__________________________________________________________________________
Method of Payment:
_
Check (made out to All Souls UU Church, Convo 2003)
_
Credit Card
_
VISA
_
MasterCard
_
Discover
_
American Express Card
#_________________________________
Exp._______________ Signature
X_____________________________________________________________
Registration Fee Options --
Member__~~Non-Member__
Please circle your registration
choice(s)!
Early Registration (before Jan. 22nd,
2003)
$100 US $120 US
Late Registration (after Jan. 22nd,
2003)
$120 US $140 US
Youth or Young Adult (under 25 yrs.
old)
$ 50 US $ 70 US
Economic Hardship
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$ 50 US $ 70 US
Full Scholarship
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(with Homestay -- limited no. available) $
0
N/A
Child Care (add $20 US per child, Saturday only)
Age(s) and number of children____________________
Registration includes KC Barbecue Dinner on Friday
night, Saturday breakfast and lunch, Sunday lunch,
and snacks during breaks, as well as "tour guides" for the Saturday "Night
on the Town"!
I
Membership in Interweave Continental. Not a member?
Join now, for only $30 a year, and receive member rate
for Convo and 6 issues of InterweaveWorld a year
among other wonderful things! Simply complete the membership
form on page 9, and send it and your check (payable to Interweave Continental)
in the same envelope with your
Convo registration!
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All registrations in these categories must also be
received by Jan. 22nd. Please attach brief letter describing
the
need for financial aid, in complete confidence, so
that we may distribute aid fairly and wisely.