SPRING 2010 DEAR JANE ® RETREAT REGISTRATION FORM

Thursday through Saturday, April 15, 16, 17, 2010
checkout Sunday, April 18

Please reserve a spot for me at the Spring 2010 Dear Jane ® Retreat in Shipshewana:
Name
Address
City/State ZIP
Email Phone
Are you a member of the Dear Jane List? Yes _____ No_____

Please circle the amounts in the columns below that apply to your circumstances and total the column on the right.
List your roommates, if any. We will need to have completed registration forms for each roommate.

Please note that the retreat officially begins on Thursday afternoon.
However, the sewing room will be available to us after 3 pm Wednesday with VERY limited seating.

Room
Wednesday
Thursday
Friday
Saturday
TOTALS
Single
79.00
79.00
89.00
89.00
Double
39.50
39.50
44.50
44.50
Triple
29.66
29.66
33.00
33.00
Quad
24.75
24.75
27.25
27.25
Subtotal
IN state tax @7% plus local hotel tax @5%
12% Tax
Retreat fee
 $10.00
(optional) Amish meal: $21.00
Subtotal
Check here if paying through PAY PAL [    ]  * 3 ½ % Pay Pal fee
      Total

We accept major credit cards and electronic checking transfers. These methods of payment are accepted only through PayPal.com.
Pay Pal is a secure web site. You do not need a Pay Pal account to use this option. For more information, visit their site at: PayPal.com
Payment should be sent to : frey@ecrta.com

* Attention Pay Pal Users! There is an additional charge of 3 ½ % to send money via Pay Pal.
To calculate your Pay Pal fee, multiply the subtotal by .035

List roommates, if any. (Each roommate should submit a separate reservation form).

Roommate's Name Email/Phone
1.
2.
3.
Do you require any special room accommodations?

Mail this form* with your check or money order payable to:

"Elaine Frey, Dear Jane Retreat"

and mail to:

Elaine Frey
23646 River Manor Blvd.
Elkhart, IN 46516

* Please note that a registration form is still required when using Pay Pal.* Payment should be sent to : frey@ecrta.com

The retreats have become a special time for Dear Jane ® enthusiasts in Shipshewana. As our group has grown, it has become evident that in order to provide a comfortable and relaxing time for everyone, we needed more organization. We are happy to be working with the Farmstead Inn to coordinate this retreat. We value our relationship with the Farmstead Inn and the Shipshewana merchants and look forward to meeting you all in Shipshewana.

Please direct all room related questions to Elaine.
Elaine Frey, Phone: 574-875-8676
frey@ecrta.com

Susanne Kleen
susanne@janiac.com


[Shipshe info]