City ______________________ State ________ Zip _______
Registration Fee : Please (indicate your choice)
$50. _____ Early Bird Registration Fee (prior to 09/09/05; includes overnight lodging and three meals)
$55. _____ After 09/09/05 (includes overnight lodging and three meals)
$35. _____ Saturday Attendance (two meals) Only this year!
There are many break out craft and studies available. There will be small materials fee for the Beading Project. $10.00 for two pair earrings____.
Please indicate your interest in advance so we will know what supplies are needed. I would like to pre-order____2005 Retreat T-shirt(s) at $12.00
Size Med____Size Lg.____Size XL.____
Please indicate total quantity and how many of each size. Your t-shirt will be at registration for you to pick up.
**I would like to room with____________.
**Please let us know about any special dietary needs in advance.
Print Form, make check
& Mail To:
Upper Skagit Valley Womens Retreat
c/o Gladys Silrus
Concrete, Wa. 98237