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Gregath Company,
Incorporated |
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Genealogy and Writing Retreat 2009 Information provided here
will be used for ongoing PR so please send this in with payment ASAP. Name: ___________________________________________________________________________ Address: _________________________________________________________________________ Phone Number:_______________________________ Preferred Roommate (optional): _____________________________________________________________________________________________ _____________________________________________________________________________________________ ______ I am handicapped (for reservation purposes only) Email: ________________________________ Website: ________________________________
Speaking Topic/Requested Time Period - 1 hour before Q&A minimum (i.e. 1hr, 1.5hr, 2hr, etc.): _____________________________________________________________________________________________ Presentation Equipment Requested: _____________________________________________________________________________________________ Comments: _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ Speakers can not provide referral bonuses for others - though they are eligible for unlimited referral bonuses for attendees they refer. Please also include biographical information and a photo.
Price includes Speaker Discount
____ Early 2009 Full Retreat Package
@ $160.00 each = $______________
____ Standard Full Retreat Package
@ $185.00 each = $______________
____ Single Supplement
@ $60.00 each = $______________
NO
SHIPPING OR HANDLING FEES NEEDED |
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