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* 1. Your Name, E-mail, Phone, and Mailing Address

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* 2. How did you hear about this retreat?

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* 3. Arrival Date

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* 4. Departure Date

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* 5. Have you made a reservation at the 4 Queens?

We recommend that you book a "Deluxe Room" (South Tower.) The Expedia sale allows for an average room rate of only $68 for a room with two Queen Beds. That rate allows for free cancellation - and an option to pay now OR at the hotel in October! To book this hotel with Expedia, please visit http://bit.ly/116CNw5

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* 6. Do you have/need a roommate?

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* 7. Intended method of travel to Las Vegas

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* 8. Which additional events are you interested in attending?

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* 9. The registration fee is $35/person before August 1st, $45 per person after that

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* 10. Are you interested in donating an additional $10 (or other amount) to the financial assistance fund.

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