Retreat Check Sign Up Form

Please print and fill out this form, sign and send it along with a check for your full regisration fee or a deposit of half of the registration fee (made out to LRWA) to the address below. Your balance will be due on/before July 31, 2010.

Please circle your applicable fees:

Beach Bound Retreat Fee*:

Full Board:      
$250,   LRWA: $165
Includes workshops, shared queen-sized bed and all meals through Sunday brunch

Daytrippers (for Saturday AND Sunday):
$125,   LRWA: $75
Includes workshops, all meals on Saturday and Sunday brunch
Friday welcome dinner: $20 flat fee (daytrippers only)

Hermit Week Fee*:     

Single ocean view $550; Single island view $500; Double island view $425,   LRWA: $50 discount**
Includes private or shared room, breakfasts and lunches
     

Jumpstart Master Class Fee*:

Full Board:      
$500,   LRWA: $50 discount**
Includes workshops, shared room with solo bed/sofa-bed/fouton (2 shared king beds), breakfasts and lunches

Daytrippers:
$250,   LRWA: $50 discount**
Includes workshops and lunches
(please contact us for nearby hotel recommendations)

* The fine print: Your registration fee is required to reserve a spot. Refunds will be given for written cancellations (minus a $50 handling fee) received on or before July 31, 2010. After July 31, 2010, refunds will be given (minus the $50 handling fee) ONLY if you or LRWA are able to fill your reserved spot with a paying attendee. NO EXCEPTIONS for any reason whatsoever.
**Please note: the full fee must be received by July 31 to receive any chapter discount.

Name:___________________________________________________

Street Address:_____________________________________________

City, State, Zip:_____________________________________________

Email Address:[Print]_________________________________________

Phone:[Day]_______________________  [Eve]____________________

LRWA member #_______     Non-member_______

Check #:_________________   Amount of this check:_________________

Please note: First reserved, first served, no guarantees of any kind.

Please note: no special food will be provided; if you have food allergies or issues, please plan to provide your own meals. This includes low-carb!

More fine print. Please read and sign below.

Waiver:
Neither LRWA nor its board members are responsible for accidents or injury to Retreat attendees, or for articles lost, stolen or left behind.

As per RWA mandate, LRWA will not provide alcoholic beverages at the Retreat. Any member bringing said beverages is solely responsible for the use, distribution, and/or consumption, and any consequences of imbibing said beverages.

Payment of any damages caused to the house or premisies by a Retreat attendee or her/his guest(s) is the sole responsibility of that attendee.

I understand and agree to abide by the LRWA payment and refund policies, which are that both a deposit and a registration form must be recieved by LRWA for my registration to be valid, that full payment is required by July 31, that refunds will be given for written cancellations (minus a $50 handling fee) received on or before July 31, 2010. I acknowledge and accept that after July 31, 2010, a refund will be given (minus the deposit) ONLY if I or LRWA can fill my spot with another paying attendee, and that there are NO EXCEPTIONS to this rule for any reason whatsoever.

I have read, understand, and agree to abide by the conditions set forth in this waiver, as well as any other rules or guidelines pertaining to the November 2009 Retreat hosted by Lowcountry Romance Writers.

Print Name __________________________

Signature___________________________   Date______________

Complete, sign and send this form in its entirety along with your deposit to:
LRWA Beach Bound Events
Christina Sinisi, LRWA Treasurer
108 Kingfisher Court
Goose Creek, SC 29445

Your registration fee and a signed waiver must accompany your reservation.