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 23, 2004 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 23, 2004.
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 “Re-enchanting the Cosmos: The Imaginative Legacy of C. S. Lewis.”
Proof of booking (online) will be by return email; proof of booking (mailed/faxed) will be by return mail. I understand that a Confirmation packet will follow by mail. There is a $30 processing fee for cancellations. Due to contractual obligations with “The Cove,” no refunds will be possible after February 23, 2004, 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, along with refreshment breaks
Double Occupancy (please check one option below)
 $245/person
I have a roommate: Name ____________________________
Please assign me a roommate, if available
Single Occupancy
 $310/person
Meals ONLY (for commuting participants)
 $160/person
   
Program Registration Fee
 $115 standard rate

$105 clergy/faculty

$95 student
  TOTAL COST: $
  AMOUNT ENCLOSED:
 (Minimum $115 Registration Fee.Please indicate your method of payment below)		 $
  BALANCE DUE:
(Full payment MUST be received by February 23, 2004)		 $

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:

Please note that one must pay the Program Registration Fee as a minimum to reserve one’s space but may defer payment for Lodging/Meals to a later date. Full payment MUST be received by February 23, 2004.

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 or smoking indoors. We regret that we are not able to admit participants for only one day.

For further information, telephone 1-888-CSLEWIS (275-3947) or email thecove@cslewis.org