Resource Pages

Registration

Environmental Storytellers Retreat

February 22-24, 2008.

Please print out and fill in this form, then mail it with check to the address below.

Name(s)________________________________________________________

Street________________________________________________________

City, State, Zip_______________________________________________

e-mail________________________________________________________

phone_______________________________________________________

allergies or special needs?____________________________________

___number of Fri-Sun attendees (@ $150) subtotal________
___number of Saturday-only attendees (@ $50) subtotal________
TOTAL_______

Make checks payable to: MO-TELL.

Please mail your form and check to:

Gale Portman
944 Chestnut Ridge Rd.
Manchester, MO 63021