ENGLISH INFUSION

Summer's End Registration

#1

First Name

Last Name

Email Address

#2

First Name

Last Name

Email Address

#3

First Name

Last Name

Email Address

#4

First Name

Last Name

Email Address

Hospitality

I am requesting hospitality for the weekend (# people, which nights, any special needs)

I am offering hospitality for the weekend (nights available, # beds--futon/guest room etc)

Make payment arrangements

Amount due

Please select one of the following -- you will be redirected to a page with payment instructions.

Check mailed within 7 days, payable to Tara Bolker

Online through PayPal account

Online with plastic (through PayPal but no account required)

Other

Indicates Response Required