FALL FOLK MUSIC
WEEKEND
October
17-19, 2008 at
the Honor’s Haven Resort, Ellenville, NY (formerly the
Fallsview)
You may also sign
up on-line (small service charge applies) at:
http://www.fallweekend.eventbrite.com. By mail,
print this form and send with a stamped, self-addressed envelope and check
payable to FMSNY to:
Tom Weir, 340 W 28 St, # 13J, New York, NY 10001; 212-695-5924; or e-mail:
Note: payment in full is required with registration. All but $15 is
refundable until October 1st. All but $50 is refundable until October 11; no refunds after that date.
Full directions will be sent with the confirmation.
Here is my full
payment of $ __________ for the 2008 Fall Weekend
___adults, double:
[ ] members $269 ea;
[ ]non-members $294
ea = $___________ (All rooms have private bath.)
___children* (7-16), age_____,
at $35ea = $__________; ___children* (under
age7)*, age_____; free
___ adults, triple:
[ ]members $235 ea;
[ ]non-members $260 ea=$_______
___ adults, single
[ ]members $333 ea;
[ ]non-members $358
ea=$______
*Children sharing with 2 adults (under 7 years old are free)
Name:_________________________________________________
Phone day (_____) _______________________
Address:
_______________________________________________
Phone eve (_____) _______________________
City:___________________________________, State:____
Zip:________ E-Mail: __________________________
Emergency contact during weekend:
________________________________________________________________
Other Name(s) in Party not given above:_________________________________
Requested
roommate (other than those on this form)?________________________
[ ]vegetarian; [ ]vegetarian eats fish; [ ]vegan; [
]no red meat; [ ]no poultry; [ ]no fish; [ ]no
dairy; [ ]other:_______________________
[ ] I am driving from ________________________________at
_____am/pm and can take ___ additional passengers.
[ ] I need a ride from ___________________________________, if
possible.
Do not include my [ ]email and/or [ ]phone number on the address list.
rev.
10/3/08 ... to
main
FMSNY page ... to
weekend information page