Type your answers in the boxes, then follow the instructions at the bottom of the page.

Name:             

Address:          

 City, St, Zip:    

 Phone:         E-mail:

Please type an X in the box that applies:

SCBWI member $275
non-SCBWI member $315

You may deduct a roommate discount for sharing a room: $40 if you share a room with one person.

Rooms and meals: (please check the appropriate boxes). We'll do our best to accommodate your wishes, but only a certain number of singles, and doubles. [NOTE: There are no more single or triple rooms available.]

Double room (deduct $40). Roommate: ____________________________ .

No roommate. Please arrange for me to room with other attendee(s) of the same gender.

Regular meals Vegetarian meals Vegetarian meals, but chicken or fish are OK with me

TOTAL REGISTRATION PAYMENT ENCLOSED $________

To pay with Paypal, click here.

Please write your check(s) out to RMC/SCBWI and mail it or your PayPal receipt along with this registration form to:

Olgy Gary, RMC-SCBWI Registrar, 1002 Oxford Lane , Colorado Springs , CO 80906

Questions? Contact Summer Retreat Coordinator Ceil Boyles

Please confirm my registration via: Email - I have provided my email address above Postcard - I have enclosed a self-addressed, stamped postcard

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