Registration Form

The Strawbale Cottage Workshop Registration Form

Sept. 12th-19th 2015  (7 nights)

To Register please print then submit the following form and

Send $200.00 per person Non-Refundable deposit to:

Total cost for entire workshop not including camping and meals $475.00 Greg Walter

P.O. Box 418

Salida Co. 81201

719-539-0420

Name(s)

E-Mail

Website

Telephone

Mobile Phone

Address

City

State

Zip

Number of Participants Registering Sat. Work shop ($25.00) Sun.-Fri. ($75.00)

Camping Fee ($10:00 per night)

Meals Per Day $15:00 (7 Days )

Dietary Concerns

Total Cost

Less Deposit Amount ($200.00 per person)

Total Amount Due upon arival

Payment Method

Check ot Money Order by Mail to Address Above with Registration

Credit Card over the phone (please call between 10:30 AM and 6:00 PM)