Registration Form

Registration
Form

Memory Lehn
VI Reunion
August 1-4, 2003
Leamington, Ontario, Canada

There are 4 options to register:

Complete the registration form that you received in the mail.
Print this registration form and complete it.
Download the attached Microsoft Word file, print it and complete it.
Complete this form online and submit it using the Submit button at the bottom of the page.

Please return the registration form using any of the above methods with payment by April 30 2003.
Please make all cheques payable to Al and/or Janet Lehn. Thank you.

GROUP MEMBERS List the persons in your group who will be attending the reunion.
As the first name, please list the person whom Janet may contact if she has questions regarding this form.

Person 1:

Email:

Person 2:
Person 3:
Person 4:
Person 5:
Person 6:

ACCOMMODATIONS

Motel room reservations:

My group requires rooms for the nights of August to .

For each room requested, indicate the type of sleeping arrangements:

For Room 1:

For Room 2:

For Room 3:

For Room 4:

Camping reservations:

My group requires campsites for the nights of August to .

For each site, indicate the type of camping and location:

For Site 1:
Type: Location:

For Site 2:
Type: Location:

For Site 3:
Type: Location:

For Site 4:
Type: Location:

Total motel downpayment at $50 per room =	$
Total camping downpayment at $25 =	$
TOTAL GROUP DOWNPAYMENT FOR ACCOMMODATIONS =	$ Box A
Note: Guests are responsible for the remainder of the payment for the rooms which are $149 per night.

MEALS

The complete meal package may be purchased (Section 1) or meals can be purchased individually (Section 2). Please fill in either Section 1 or Section 2.

Section 1 - COMPLETE MEAL PACKAGE (8 Meals)

Number of Adults at the cost of $78 each = $

Number of Children 6 to 12 years at the cost of $48 each = $

Number of Children 4 & 5 years (Colosanti's only) at the cost of $10 each = $

Number of Children 4 & 5 years (Aug 2-4 only) are FREE

Number of Children 3 years and under are FREE

Total Meal Amount for Adults = $

Total Meal Amount for Children 6 to 12 years = $

Total Meal Amount for Children 4 & 5 years (Colasanti's only) = $

TOTAL MEAL AMOUNT FOR THE GROUP = $
Box B-1

If you have completed this section, skip section B and go to Group Photo section.

Section 2 - INDIVIDUAL MEALS

Dinner, Friday August 1 at Colasanti's Tropical Gardens

Number of Adults at the cost of $20 each = $

Number of Children (ages 4-12) at the cost of $10 each = $

Number of Children (age 3 and under) are FREE

TOTAL GROUP COST FOR COLASANTI'S = $

Breakfast, Saturday August 2

Number of Adults at the cost of $6 each = $

Number of Children (ages 6-12) at the cost of $4 each = $

Number of Children (age 5 and under) are FREE

Lunch, Saturday August 2

Number of Adults at the cost of $8 each = $

Number of Children (ages 6-12) at the cost of $5 each = $

Number of Children (age 5 and under) are FREE

Dinner, Saturday August 2

Number of Adults at the cost of $12 each = $

Number of Children (ages 6-12) at the cost of $8 each = $

Number of Children (age 5 and under) are FREE

TOTAL GROUP COST FOR SATURDAY AUGUST 2 = $

Breakfast, Sunday August 3

Number of Adults at the cost of $6 each = $

Number of Children (ages 6-12) at the cost of $4 each = $

Number of Children (age 5 and under) are FREE

Lunch, Sunday August 3

Number of Adults at the cost of $8 each = $

Number of Children (ages 6-12) at the cost of $5 each = $

Number of Children (age 5 and under) are FREE

Dinner, Sunday August 3

Number of Adults at the cost of $12 each = $

Number of Children (ages 6-12) at the cost of $8 each = $

Number of Children (age 5 and under) are FREE

TOTAL GROUP COST FOR SUNDAY AUGUST 3 = $

Brunch, Monday August 4

Number of Adults at the cost of $6 each = $

Number of Children (ages 6-12) at the cost of $4 each = $

Number of Children (age 5 and under) are FREE

TOTAL GROUP COST FOR MONDAY AUGUST 4 = $

TOTAL GROUP COST FOR ALL INDIVIDUAL MEALS = $
Box B-2

GROUP PHOTO

Number of 8 X 10 photos at the cost of $13.50 each = $
Box C

TOTAL COSTS

Downpayment for Accommodations (Box A) = $

Total Meals (Box B-1 or B-2) = $

Group Photo (Box C) = $

GRAND TOTAL = $

Include any other comments here:

Dear Janet and Al,

Send comments about this site to the webmistress.

Number of Adults at the cost of $78 each =	$
Number of Children 6 to 12 years at the cost of $48 each =	$
Number of Children 4 & 5 years (Colosanti's only) at the cost of $10 each =	$
Number of Children 4 & 5 years (Aug 2-4 only) are FREE
Number of Children 3 years and under are FREE

Total Meal Amount for Adults =	$
Total Meal Amount for Children 6 to 12 years =	$
Total Meal Amount for Children 4 & 5 years (Colasanti's only) =	$
TOTAL MEAL AMOUNT FOR THE GROUP =	$ Box B-1
If you have completed this section, skip section B and go to Group Photo section.
Section 2 - INDIVIDUAL MEALS
Dinner, Friday August 1 at Colasanti's Tropical Gardens
Number of Adults at the cost of $20 each =	$
Number of Children (ages 4-12) at the cost of $10 each =	$
Number of Children (age 3 and under) are FREE
TOTAL GROUP COST FOR COLASANTI'S =	$

Breakfast, Saturday August 2
Number of Adults at the cost of $6 each =	$
Number of Children (ages 6-12) at the cost of $4 each =	$
Number of Children (age 5 and under) are FREE

Lunch, Saturday August 2
Number of Adults at the cost of $8 each =	$
Number of Children (ages 6-12) at the cost of $5 each =	$
Number of Children (age 5 and under) are FREE

Dinner, Saturday August 2
Number of Adults at the cost of $12 each =	$
Number of Children (ages 6-12) at the cost of $8 each =	$
Number of Children (age 5 and under) are FREE
TOTAL GROUP COST FOR SATURDAY AUGUST 2 =	$

Breakfast, Sunday August 3
Number of Adults at the cost of $6 each =	$
Number of Children (ages 6-12) at the cost of $4 each =	$
Number of Children (age 5 and under) are FREE

Lunch, Sunday August 3
Number of Adults at the cost of $8 each =	$
Number of Children (ages 6-12) at the cost of $5 each =	$
Number of Children (age 5 and under) are FREE

Dinner, Sunday August 3
Number of Adults at the cost of $12 each =	$
Number of Children (ages 6-12) at the cost of $8 each =	$
Number of Children (age 5 and under) are FREE
TOTAL GROUP COST FOR SUNDAY AUGUST 3 =	$

Brunch, Monday August 4
Number of Adults at the cost of $6 each =	$
Number of Children (ages 6-12) at the cost of $4 each =	$
Number of Children (age 5 and under) are FREE
TOTAL GROUP COST FOR MONDAY AUGUST 4 =	$
TOTAL GROUP COST FOR ALL INDIVIDUAL MEALS =	$ Box B-2

Downpayment for Accommodations (Box A) =	$
Total Meals (Box B-1 or B-2) =	$
Group Photo (Box C) =	$
GRAND TOTAL =	$