Family Name ______________________________________________________
Given Name _______________________________________________________
PHONE #( )__________________FAX #(
This is my first Ontario Gathering Yes _________No__________
Health concerns we should be aware of (allergies, dietary, wheelchair
The hotel will try to provide specific room needs, but ground floor
rooms are limited; however, all parts of the hotel are accessible by
elevators. Many rooms have a queen bed and a pull-out couch.
People wishing to room together should send their applications and
cheques in the same envelope.
London is a smoke-free city, so smoking rooms are very limited and
must be requested.
The hotel assigns the rooms so speak to the desk person if you think
something is not right with the room.
Shared Accommodation with____________________________________________
Single Room ________(additional fee $52.50)
PAYMENT: This registration application must be accompanied by
your payment, and registered workshop application form.
There are three methods of payment available
_____One cheque for $335.00 dated October 15th, 2004
_____Two cheques for $167.50, dated October 15th 2004, and
January 15, 2005
_____Five cheques for $67.00 dated Oct. 15th, Nov.15th,
Dec.15th, Jan. 15th 2005, Feb. 15th
Workshops - please include payments for your most expensive workshop
for both Saturday and Sunday. Payment may be included with you
registration fee payment or you may enclose a separate post-dated cheque
for February 15, 2005.
Payment will be accepted in Canadian Funds Only either by
cheque or money order made out to "The Miniatures Clubs of London
Gathering 2005." Please put your name on all cheques. US dollars
will be accepted at par. Your cashed cheque is your notice of
registration. If sending a money order, please make sure it is
an International Money Order.
Mail to: Miniatures Gathering Registrar Dot MacRae, 223 Commissioners Road E, London,
Ontario, Canada, N6C 2S9. Selection process begins with all
registrations received by October 15, 2004