2004 Ontario Gathering|
Please Print a Hard Copy, (turn off headers and footers via Page Setup).
Please Write Clearly
First name ______________________________
City_________________Prov/State_________ Postal/zip code _________
PHONE #(___)_______ FAX #(___)________
This is my first Gathering in Ontario Yes ______ No ______
Club affiliation(s):- ____________________________________________________________
we should be aware of (dietary, medical, mobility)
We will make every attempt to provide you with specific room requirements:
Ground Floor ____ Smoking
______ Wheelchair Accessible _____
Single Room _____ (note: an additional fee of $60.00 is required)
Shared accommodation with: ___________________________________________
PAYMENT: Your registration
application must be accompanied by your payment.
Three methods of payment are available to you:
cheque for $330.00 dated October 15, 2003
____Two cheques for $165.00, one dated October 15, 2003
and one dated January 15, 2004.
____Five cheques for $66.00 dated as follows: October 15, 2003, November
15, 2003, December 15, 2003, January 15, 2004, February 15, 2004
accepted in Canadian Funds Only by either cheque or money order made out to Miniatures Gathering.
Include registrant's name on all cheques please. U.S. residents may use Canadian dollar money orders
or Canadian dollar traveller's cheques. U.S. $ payments will be treated at par. Your cashed cheque is
your notice of registration.
Mail To: 2004 Miniature Gathering, Marlene Thomas, 60 Eisenhower
Crescent, Nepean, Ontario K2J 3Z8. Reminder that forms should arrive by October 15, 2003, when registrants
will be issued a registration number.
Cancellations and Refunds: February 28, 2004 is the deadline for cancellation refunds. Please
inform the Registrar by phone, followed by written confirmation (email/post). Reimbursement will be
by cheque with an administrative fee of $25.00 retained. To avoid excessive charges, please do not put
a stop payment on your cheque.