HAT RUCKUS REGISTRATION FORM
Thursday, September 20, 2007
10:00am to 5:00pm - Ballroom - Coast Capri Hotel,
Please print clearly:
I am a Queen Mother: yes____no____ I am a Pink Hatter: yes____ no____
Email address ______________________________________________
I would like to order: chicken dinner________ salmon dinner _______
FULL DAY TICKET (PAYMENT TO BE RECEIVED BEFORE JULY 10TH) $45.00 (AFTER JULY 9TH $50.00)
Tickets for OPTIONAL "AFTER PARTY": Dinner & PJ Party Package $35.00 (space limited) $40 after July 9th
HOTEL RESERVATION TO BE MADE ON YOUR OWN ($115/ROOM - REG RATE IS $180)
PAYABLE TO: RED
Mail to: Red Hat Ruckus, 935
one ticket @ $45 ea :_________________
one ticket @ $50 ea :___________________
one ticket @ $35 ea - "After Party" __________________
one ticket @ $40 ea - "After Party" __________________
Pre-order door prize tickets: (ALL proceeds for purchase of defibrillator)
1 ticket/$2 or 3/$5 or 7/$10 _____tickets for $_______________
TOTAL AMOUNT OF THIS ORDER $_______________
I am staying at the Capri Hotel yes_____no_____
ONE order form per person please so we have your food requirements.
Tickets must be purchased before Aug. 20th. No refunds.
I HAVE READ THE "FINE PRINT" AND UNDERSTAND THE EVENT POLICY WITH REGARD TO:
ADMITTANCE AND REFUNDS ____________________________________________
please sign above
print this page, highlight the form, go to file, print and "print
selection" It will easily fit on 1 page.
Registrations received after July 10th may not be confirmed until After Aug. 10th.