Windsor Detroit MKP 2nd IGLT phase 1
©2006-7 Kirk Tirakian used by permission

WHERE:   Gesstwood Camp, Ontario Canada  
MAP Google Maps
(half hour drive from the Ambassador Bridge(Detroit); near Windsor)
~Only picture ID and birth certificate necessary if travelling by car~
WHEN:  
FRI:     MARCH 16     6:30 pm - 11:00 pm   and   SAT:    MARCH 17  9:00 am - 6:00 pm
Cost: $195 USD (Canadians at parity of $195 CDN)   Food & lodging included.
To REGISTER contact: john Doe       John@earthbink.net  
Contact Information Billing Information Same as Contact
Name:
Street:
Street:
City:
  City, State / Prov, Zip
Home Phone:
Mobile Phone:
EMail Address:
Name:
Street:
Street:
City:
  City, State / Prov, Zip
Home Phone:
Mobile Phone:
EMail Address:
   

Payment Information:

Method:
Payment Amount: example (205.00)
   
Credit Card Information:
Card Type:
Name on Card:
Card No.:

Card Expires: month: year:
CSV Code:

Special Dietary Needs:

None
Vegetarian
Lo-Carb
Other :

My Flight Details:

Arrival: Departure:
Pickup: Yes No
Airline:
Date:
ccyy-mm-dd
Time:
Flight #:
From:
Delivery: Yes No
Airline:
Date:
ccyy-mm-dd
Time:
Flight #:
To:

To better serve You: If in an I-Group, please tell us its name and the day, time, & city where it meets:

I-Group Meeting Info:
Name:
Meeting Day:

Meeting Time:
City
Costs & Registration: (parity for men living outside of USA) Includes all lodging & food (Fri. night snack; B, L on Sat;

BSDT $195 USD (Non Residents of USA at Canadian Parity $195.00 CDN)
$50 non-refundable deposit


IMPORTANT NOTE:  Your space in this workshop can only be reserved UPON RECEIPT OF YOUR DEPOSIT (i.e. when your Credit Card number or Check is RECEIVED by the REGISTRAR).  A Credit Card # can be used to reserve your spot, even if you ultimately want to pay your deposit by check

REGISTRAR: John Doe
John@earthbink.net
Voice phone 313-555-1212
Snail Mail:
jake
12345 Buster Crab Drive
Nowhere Hills, MI 48456 USA