Registration

Great Cape Escape XX

Registration for GCE XX June 23-26, 2011 has begun!

To register, please do both of the following
1) Fill out the form below
2) Pay (check or PayPal - details below)

NOTE: If you would like to volunteer to help plan either Blender Row or the Friday Night Mystery Activity, please enter that information in the "Comments" section below.

Registration deadline is May 2, 2011. Don't forget to recruit your friends!

Step 1: Registration Form

First Name: *
Last Name: *
Address Street 1: *
Address Street 2:
City: *
State:
Zip Code: *	(5 digits)
Cell Phone: *
Home Phone:
Email: *
Roommate Preference:
	I will try to find a roommate, but I may need help.
	I want to be a Blender Row host.
	I would like a vegetarian meal on Saturday night.
	This is my first time attending the Great Cape Escape.
Payment: (See Step 2 below for details)	Check ($175) PayPal ($175)
Comments:	Enter comments here!

NOTE: After hitting the "submit" button, you will be redirected to the home page. To see the payment information, from the home page, just click on "Registration" and scroll to the payment information listed below.

Step 2: Payment (non-refundable)

Check - $175 - Make payable to "Lorena Prime" and send to
                       Lorena Prime
                       PO Box 35145
                       Boston, MA 02135


PayPal - $175