Print Registration Form

To reserve your space - please print out this copy, complete, and mail or fax together with Registration Fee (or payment in full) by February 7, 2003 to:

C.S. Lewis Foundation, PO Box 8008, Redlands, CA 92375
Fax: 909-335-3501
Email: thecove@cslewis.org
www.cslewis.org

Payment in full must be received by February 17, 2003
NOTE: Space is limited! Register early to save your space.

Complete one form per person.
If there is more than one person, please make copies of this form and mail/fax them all together.
Yes, please accept my registration for "Discovering Reality with C.S. Lewis." I understand that confirmation of my booking will be provided by return mail. (Please allow up to ten business days for processing.) There is a $30 processing fee for cancellations. Due to contractual obligations with The Cove, no refunds will be possible after February 10, 2003, unless the space can be rebooked.
Title: ___Mr. ___Mrs. ___Ms. ___Rev. ___Dr. ___Prof. ___Other _______
Name: (First and Last):  
Address:  
City:  
State:  
Zip:  
Home Phone:  
Work Phone:  
Email Address:  
   
COST: Lodging - for Friday and Saturday nights. All rooms are comfortably and attractively furnished with two queen-sized beds.
Meals - Six meals are provided, beginning with Friday supper and ending with Sunday lunch.
Double Occupancy (please check one option below)
 $240/person
I have a roommate: Name ____________________________
Please assign me a roommate, if available
Single Occupancy
 $300/person
Meals ONLY (for commuting participants)
 $160/person
   
Program Registration Fee
 $100/person
  TOTAL COST: $
  AMOUNT ENCLOSED:
 (Minimum $100 Registration Fee.Please indicate your method of payment below)		 $
  BALANCE DUE:
(Full payment MUST be received by February 17, 2003)		 $

Method of Payment
Check (made payable to the C.S. Lewis Foundation)
Credit Card
Visa ____     Master Card ____     Discover ____
  Account No.:
 

Expiration Date:
  Name on Card:
  Signature:

Note: Due to the conference policy of The Cove, we cannot accept participants under the age of 18. The Cove does not allow alcoholic beverages on the premises. Our cost structure does not allow us to accept participants for only one day.
For further information, telephone 1-888-CSLEWIS (275-3947) or email thecove@cslewis.org