hancock

This form is printable
2008
REGISTRATION
NORTHWEST ROCKHOUND RETREAT
September 1st thru 7th, 2008
Sponsored by
The Northwest Federation of Mineralogical Societies
(One Registrant per form, Please.)
Name: __________________________________________________________

Address: ___________________________________________________________

City: ______________________ State: ____ Zip: ________ Phone: ___________

Are you a member of a related Club? ___ Name of Club: ________________

Your E-Mail address: __________________________________

Registration Fee: $240.00
Fossil Beds Trip: $35.00
Work Shop Fee: $45.00
Note: These costs must be paid at registration;
Daily Rate: $45.00
Material costs will be paid to Workshop Instructor.
Do you need a cabin? ___ Do you need an RV Parking Place? ___
If you are in a cabin, is there another registrant you want in the same cabin? Please identify them. ___________________________________

Instructions: On the right, check which activities in which you wish to Participate. Place the amount on the line to the right. Total the right hand column and send a check with this form to:
Lamar Tilgner
200 S.E. Olvera Ave.
Gresham, OR 97080
lstilgner@aol.com
503-666-2905
NOTE: Make check payable to Lamar Tilgner Only pay Workshop fee once - Show Workshops # you plan to work in and number preference. Remember, there are 28 hours of Workshop time, so you can register for multiples and divide your time
NOTE: If you have any special dietary needs, please note them on entry form so we can get them to the cook.
_X_ Registration Fee: __$240.00
___ Fossil Beds Trip: ______
___ Work Shop Fee: _______
___ Basic Faceting:* _________
___ Silversmithing: ___________
___ Wirewrapping: ___________
___ Intarsia:_______________
___ Casting:_______________
___ Basic Stone Setting: ________
___ Beading: ___________
___ Judging Seminar:** _________
___TOTAL _________________
* It has been requested that if you take Faceting that you allot full time to that effort.
** The Judging Seminar is only for those folks who are familiar with the Federation and the disciplines that this requires. This is an intense 5 day course leading to Judging Certification.

Return to Hancock
Return to Top