Silver Threads Celebration Home
Please print this form.
Don't have a printer? 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  _________________________