Adults:   $65-85 sliding scale
     Teens*:   $35-50 sliding scale
     * see Youth Program information
 
    Full conference      $35.00/child*
     Fri. 6:30pm-11:00pm   $8.00/child*
     Sat. 8:00am- 6:30pm   $20.00/child*   
     Sun. 9:30am-12:30pm &
      1:30 pm-4:00 pm      $8.00/child*
     * Maximum if you have more than two children:  $75.00
     For more child care information call Cindy at (608) 244-8428.
     Add $15 late fee
     No child care requests accepted
     No home hospitality requests accepted
     Hotel room choices greatly limited
Interweave Convocation c/o Central Midwest District Eisenhower Tower, Suite 310 1701 S. 1st Avenue Maywood IL60153
Name(s)__________________________________________________
Address ________________________________________________________
(Street, apt #, city,  state/province,  zip/postal code)
Phone/fax/e-mail ________________________________________  
                     (any one or all)
Special considerations 
_______________________________________________________
(dietary, accessibility, etc.)
Home hospitality needed? _____ How many: Fri?___ Sat?___
Needs, preferences___________________________________________
(smoking/no smoking?   both, or no preference? no pets? children/no children? anything else?)
Need to be met at airport? List details:
________________________________________________________
(Madison or Milwaukee?  Airline, flight #, date and time of arrival)
ConvoChoir?  Circle your section   S  A  T  B   and/or name your instrument _______________________________________________
Circle here if you want any of the following information left off the list of CONVO '96 attendees (circle all that apply):
NAME(S)    ADDRESS    PHONE #    FAX #   E-MAIL
(List will be distributed only to those who attend CONVO '96.)
List the letters of five workshops you wish to attend, in order of preference:  _______  _______  _______  _______   _______
Child Care needed? ______   List age(s) of child(ren) 
_________________________________________________________
Days and times you will need child care 
_________________________________________________________
 (see list of available times)
SUMMARY:
$__________ = # of Adults _____ @ $65-85 (sliding scale)
$__________ = # of Teens  _____ @ $35-50 (sliding scale)
$__________ = Child care (see brochure for list of fees) 
$__________ Late Fee ($15 if registration received after 1/16)
$__________ Donation in support of Convo scholarships
$__________ TOTAL
Mail check (U.S. funds) and registration form to: Interweave Convocation, c/o Central Midwest District, Eisenhower Tower, Suite 310, 1701 S. 1st Avenue, Maywood IL 60153, USA.
Make check payable to CMD-UUA and write CONVO '96 on the memo line.
Planting the Seeds of Justice
February 16-18, 1996
First Unitarian Society-UU
900 University Bay Drive
Madison, Wisconsin
 
 Alan Hamilton <alan@spdcc.com>. Last uploaded: 96/01/08