Please
send form and payment to:
Gregath Co., BOX 505, Wyandotte, OK 74370.
Name: ___________________________________________________________________________
Address: _________________________________________________________________________
Phone
Number:_______________________________
Email: ________________________________
1 Genealogical/Historical OR Lineal Organization (for nametag): ________________________________
Preferred Roommates (optional): _____________________________________________________________________________________________
_____________________________________________________________________________________________
______ I am handicapped (for dorm reservation purposes only)
____ Early Registration Full Retreat Package
@ $125.00 each = $______________
Until August 1, 2005 - as available
____ Standard Full Retreat Package
@ $175.00 each = $______________
Until October 1, 2005 - as available
Lower Occupancy Supplement Available
Total (per person) to PayPal = $______________
____ Day Tripper (1 day) Offer @ $80.00 each = $_______________
Until October 1, 2005 - as available Refunds
for either package (minus $10.00 administration fee)
available through April 1, 2007.
Canceled reservations after
this date are eligible for a small portion refund.
NO
SHIPPING OR HANDLING FEES NEEDED
Page Last Updated:
December 21, 2017