| Name:
__________________________________________ Phone (primary):
___________________ |
| Address:
________________________________________ Phone (alternate):
__________________ |
| City:
___________________________________________ State: _______ ZIP:
________________ |
| E-Mail Address:
____________________________ Club Affiliation (if any):
____________________ |
| Birth Date: ____/____/______. I would
like to be listed in the Gathering directory: YES____ NO____ |
| Are you willing to host out of town CMEN members in your home?
YES_____ NO_____ ASK_____ |
| I have been to previous CMEN West Coast
Gatherings (number of): FALL: _____ SPRING: _____
|
| Session/Dates |
Regular
Price |
Early Bird
Price
(before 5/31/12) |
Advance
Price
(before 12/31/11) |
Discounts
Tent / RV Camping |
| Full 9 Days, Aug 31 - Sept 9 |
$679 |
$559 |
$469 |
Deduct $80 |
| Full Week, Aug 31 - Sept 7 |
$619 |
$519 |
$449 |
Deduct $75 |
| 6 Days, Sept 3-9 |
$559 |
$479 |
$399 |
Deduct $75 |
| Half Week, Sept 5-9 |
$389 |
$319 |
$249 |
Deduct $60 |
| Labor Day Weekend, Aug 31 - Sept 3 |
$349 |
$289 |
$199 |
Deduct $50 |
| Final Weekend, Sept 7-9 |
$195 |
$150 |
$99 |
Deduct $20 |
| Early Arrival, Aug 30 |
add $40 |
add $35 |
add $30 |
|
Partial scholarships may be available upon request. Call 1-877-NUDIST-1 for more infomation.
| Options: |
Amount: |
| Session selected: _______________
Dates selected: arrive: ________ depart: ________ |
. |
Optional upgrade to 2-person rooms - Costs are per person[Full 9 Days-add $544] [Full Week-add $449] [6-Day-add $395]
[Labor Day Weekend-add $239] [Final Weekend-add $149] |
. |
| Optional upgrade to
Hillel House (add $55.00) or Field House (add $95) |
. |
| Optional transportation
to/from LAX - check schedule (add $25.00) |
. |
| Optional rental of 2
sheets, 1 blanket, 1 pillow, 1 pillow case, 1 towel (add
$34.00) |
. |
| Optional donation to
"Scholarship Fund" |
. |
| Prepaid Gratuities for
Conference Center Staff |
$7.00 |
| Membership in CMEN
International for year 2012 (required) |
$7.00 |
| TOTAL DUE: |
. |
$75 deposit holds your place.
If booking "Motel" $150 deposit is required.
Balance due May 31, 2012. Deposit is nonrefundable, but is transferable to another person for the same gathering with written notification by August 11, 2012. In order to transfer, you must send by POSTAL MAIL ONLY the new person's registration form and a written acknowlegement from you authorizing the new person to attend in your place.
Refund policy: Before June 1, 2012, Full refund less deposit.
After June 1, 2012, no refunds for any reason.
You must be at least 21 years old to attend this event.
To Register, Please Print and Mail This Form With Your Check To:
CMEN, 8424-A Santa Monica Blvd. #119, West Hollywood, CA
90069. Make Checks, payable in US Dollars, to: CMEN. Listed prices reflect discount for check or cash, credit
card prices 4 percent higher. Credit card charges will appear as West
Coast Gathering.Attendees are welcome to share their skills and
experience by presenting a
workshop or activity.
For more information visit www.cmen.info or
call toll-free: 1-877-NUDIST-1 (1-877-683-4781). |
