Silver
Threads Celebration
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Please print this form.
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To request a Celebration registration form, send SASE to:
Silver Threads, PO Box 5081, Gulfport, FL 33737
REGISTRATION FORM (submit one form per person)
Name _____________________________________________________
Address ___________________________________________________
City _____________________________ State _________ Zip ________
Phone ______________________ E-Mail ________________________
____ Room Reservations have been made at Dolphin Beach Resort
My roommate (s) ____________________________________________
____ Please include my name, address, phone number and e-mail address on the
contact list. This is a list of participants which will be included in your packet. (Cross out
info you don't want listed.)
Name for name tag: __________________________________________
____ Circle color dot for name tag: green = single, red
= coupled, yellow = other
____ This is my first time at Silver Threads
____ I'd like to volunteer!
SATURDAY NIGHT DINNER / DANCE: Italian Buffet
SUNDAY NIGHT DINNER / DANCE: Mardi Gras Theme (costumes optional)
BREAKFASTS ARE BUFFET.
REGISTRATION
_____ Super Saver $160 (must be postmarked by Aug. 31, 2009)
_____ Early Bird $170 (must be postmarked by Oct. 31, 2009)
_____ Regular $190 (must be postmarked by Nov. 30, 2009)
_____ Late $210 (must be postmarked by Dec. 20, 2009)
INDIVIDUAL EVENTS OPTIONS (for people who cannot be at
the entire event)
_____ Registration
$35
Allows entry to workshops and hospitality room.
_____ Thursday welcome party $20
TOTAL
$_____________________
Mail registration form, with choices noted, and full payment to:
Silver Threads Celebration
PO Box 5081
Gulfport, FL 33737
How did you hear about us?
___ Lesbian Connection
___ Word of mouth
___ Tampa Bay Film Festival
___ Mama Raga
___ Other _________________________