Genealogy and Writing Retreat 2009
On the Lake ant Stonebrook Inn
October 23-25, 2009
 Archive

Information provided here will be used for ongoing PR so please send this in with payment ASAP.
Please send form and payment to:
Gregath Co., BOX 505, Wyandotte, OK 74370.  

Name: ___________________________________________________________________________

Address: _________________________________________________________________________

Phone Number:_______________________________ 

Preferred Roommate (optional): _____________________________________________________________________________________________  

_____________________________________________________________________________________________  

______  I am handicapped (for reservation purposes only)

Email: ________________________________  

Website: ________________________________  

(___) Yes! You may use my Web contact information online and in the Syllabus.
(___) NO Do Not use my Web contact information online and in the Syllabus.

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  = $______________
 Until July 31, 2009

____ Standard Full Retreat Package    @ $185.00 each  = $______________
 Until October 1, 2009

____ Single Supplement    @ $60.00 each  = $______________
 Additional Supplements Available

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NO SHIPPING OR HANDLING FEES NEEDED
Page Last Updated: December 21, 2017