SCOUG HomeSCOUG's 16th Annual Retreat Registration Form

July 30- Aug. 1, 2004

La Casa de Maria — 800 El Bosque Road, Santa Barbara, CA

- PLEASE DO NOT TELEPHONE LA CASA -

All registrations must be received by July 16th, 2004 ~

Name _________________________________________________________________

Phone ________________________ e-mail __________________________________

_____ Full Retreat
(includes 2 nights, 5 meals, breaks, program & facilities. Friday evening 4 p.m. through Sunday 11:00 a.m.)

_____ Single @ $369.00

_____ Double @ $241.00/per person

_____ Triple @ $217.00/per person

For doubles and triples, please let us know if you have a roommate preference or if you would like one assigned.

Roommate name(s) _____________________________________________________

_____ Please assign my roommate(s)

_____ Full Retreat no room nights (includes 5 meals, breaks, program & facilities)

_____ @$149.00
I will be staying offsite at: _______________________________________________

_____ Saturday Only (includes 3 meals, breaks, program & facilities; 8AM - 11PM)

_____ @$100.00

Please make check payable to SCOUG or indicate credit card preference:

_____ Check _____ Mastercard _____ Visa Expiration date: _____________

Credit Card #: ___________________________________________________

_____ Check here if this is your first Retreat.

 

Print this form out and mail it to:

SCOUG c/o Seek Information Service

701 Sonora Ave.

Glendale, CA 91201

OR FAX TO : 818/242-2876

  

If you would like a confirmation/receipt, please include a self-addressed, stamped envelope and one will be sent to you.

Refund Policy: We can refund 80% of registration fees on requests received by July 16th, 2004. There are no refunds after July 16th, 2004.

Have Questions? Contact Lynn Ecklund at 818/242-2793 or email lecklund@seekinfo.com

Please do not contact La Casa.

For program updates, please go to our website at: www.scougweb.org.