REGISTRATION FORM

Please print a hard copy. Please write clearly.

Surname __________________________ Given Name ___________________________

Address ______________________________________________________________________

______________________________________________________________________

Phone ( ) ____________________ Fax ( ) ________________________

E-Mail ___________________________ Minis Website _______________________

Indicate if you do not wish to share your e-mail address _______

Please indicate if this is your first Gathering _______

Club Affiliation _________________________________________

The hotel will try to arrange for your specific needs, however, ground floor rooms are limited. All areas of the hotel are accessible by elevator. Many rooms have a queen-size bed and a pull-out couch.

Name of person sharing your room _____________________________________________

Please confirm with your roommate and have them include your name on their registration.

A roommate will be assigned to you, if you do not indicate one

Single room ___________ (an additional fee of $143.00 is required)

Smoking rooms are limited and must be requested. London has a no-smoking by-law for all public spaces and workspaces.

Smoking _____________________ Non-smoking _____________________

Health concerns we should be aware of:

Mobility _______________ Dietary ____________________ Other _____________________

Do you need a refrigerator for medications? YES ______

PAYMENT: Registration - Your registration application must be accompanied by your payment. There are three methods of payment available to you.

_______ One cheque for $350.00, with registration, dated October 22, 2007

_______ Two cheques for $175.00 each, dated October 22, 2007, and January 22, 2008

_______ Five cheques for $70.00 each, dated October 22, 2007, November 22, 2007,

December 22, 2007, January 22, 2008, and February 22, 2008

Workshop payments to be included as indicated on your Workshop Registration form.

Payment will be accepted in Canadian Funds only by either cheque or International Money Order, made out to “The Miniature Clubs of London Gathering 2008”. U.S. funds will be accepted at par.

Your cashed cheque is your notice of registration.

Mail To: 2008 Miniatures Gathering, 37 Laurel Cres., Ingersoll, ON, N5C 3S9. Registration forms should arrive by October 22, 2007, when the selection process will begin.

Cancellations and refunds: February 28, 2008 is the deadline for cancellation refunds. Please inform the Registrar by phone, followed by written confirmation (post/e-mail). Reimbursements will be dependent on our ability to replace you, and subject to a $25 administrative fee. To avoid excessive bank charges to the committee and yourself, do not put a stop payment on your cheque.