DeVine Visions Study Weekend 2009
June 19, 20, 21 Mary Winspear Centre, Sidney, B.C.,

UNITED STATES REGISTRATION FORM


Passports will be needed.

Fill in this form with your keyboard, then print and mail it. It does not transmit electronically.

We regret we can't accept registration by e-mail.
All prices on this form are in U.S. dollars. To pay in Canadian funds, please use our Canadian form.

Name of 1st Registrant (Name 1)  
Name of 2nd Registrant (Name 2, same address)  
Address:
City:        State: Zip Code:   
Country:    Evening Phone:   
E-mail:        (Confirmation will be emailed where possible)

REGISTRATION Cost per person Total Names
$US $US 1 2
Registration ( February 1 to April 30, 2009) $120
Registration (after April 30, 2009) $145
Saturday Box Lunch $12
Sunday Box Lunch $12
Do you want a vegetarian box lunch? no  one of us  both of us
Saturday Evening Garden Party at Glendale Gardens $35
Saturday Bus from Sidney to Glendale Gardens & return $6
 
Total Amount Enclosed $
Payment choices:
Cheque or Money Order payable, in U.S. dollars, to "Hardy Plant Group"
Mail form and payment to:
Ann Widdowson, Treasurer
4635 West Saanich Road,
Victoria, B.C., V8Z 3G7
Refunds will be made up to June 5, 2009: otherwise your payment will be considered a donation to the Hardy Plant Group.