Ontario Miniature Gathering 2013
April 19-21, 2013
Please note this is a two-page form. Please enter your name
at the top of both pages.
To print this form choose File and then choose Print from your internet brower's menu
above, then use the back arrow above to return to the previous page.
Workshop Payments should be sent with the workshop application
form. All forms can be sent in the same envelope, but please make payments on separate cheques.
Friday Dinner Choice(please choose one)
____ Roast Chicken _____ Filet of Salmon ____
Vegetable Stir Fry
Saturday Dinner Choice (please choose one)
____ Roast Beef
_____ Chicken Kieve ____ Fettucini Alfredo
Fulford House Tour: Please check the appropriate
box. Information is on the Fulford House tour page.
___ I will be touring the house (free). You must be registered to tour the house.
I would like to include Afternoon Tea in my Fulford House tour. A $25 payment is included.
Theme Table and Scale Choice:
of choices for tables and the instructions are listed on the Theme Tables page. Please choose only from that list
prefer not to sit at a theme table (your table will have a non-specific type of shop.)
1st Choice Theme: _______________________________________
2nd Choice Theme: _____________________________________ Scale: _______________
3rd Choice Theme:
______________________________________ Scale _______________
Please submit payment
in Canadian Funds
. If you have to pay in another currency, please contact the registrar, Susan Daly - email@example.com
(416) 698-2772 to determine the corresponding amount in your currency. A service charge may apply.
refund of your registration fee (minus a $25 administration charge) will be given provided notice in writing is received prior to
February 28th, 2013. Based on the hotel policy, refunds after March 1st would depend on whether or not we have someone from
the waiting list to take your place. If you must cancel, please advise Susan Daly - Registrar by email to firstname.lastname@example.org
by telephone (416) 698-2772 followed by confirmation in writing. If a refund is in order, we will reimburse you by cheque.
To avoid incurring any bank charges to the committee and yourself, please do not put a stop payment on your cheque.
(This is the name that will be on your name tag.)
Email: (please print clearly)__________________________________________________________
I do not want my email address to appear on the list of attendees
___ This is my first Ontario Gathering.
Health Concerns and
Mobility: ______________________ Dietary ___________________ Other:_____________________________
My roommate is:___________________________________________________________________________
Please make sure that you are
listed on their registration form.
__I do not have a roommate, please assign me one.
__I would like a single room. An additional $130
is included in my payment (there are a limited number of single rooms.)
__I need a ground floor room (some rooms are a short distance
from the main building. If you have mobility concerns, please let us know.)
All rooms and workshops are designated smoke free.
Glen House Resort is offering a special room rate of $85/night if you wish to extend your stay before or after the Gathering.
Please contact the hotel for reservations.
Method of Payment: Send all cheques together, dated as indicated below:
Cheque - $380 with registration, dated October 24, 2012.
__ 2 Cheques - $190 each, one dated October 24, 2012, + one post-dated
January 15, 2013
__ 5 Cheques - $76 each, one dated October 24, 2012, and four post dated November 15, 2012, December 15, 2012,
January 15, 2013, February 15, 2013.
Payment accepted in Canadian funds, by cheque or money order.
Please be sure to indicate
on the cheque the name of the registrant
Make cheques payable to Ontario Miniatures Gathering and mail to:
c/o Lynne Patterson
15 Bradgate Dr
Nepean, ON K2G 0R7
Admin Use Only |
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