Registration for the 2004 Gathering of the California Cornish Cousins
(Download pdf file, print out form, and mail to the address below) Registrations must be received by May 14, 2004

Name(s) 

________________________________________________________________________________________________

 

________________________________________________________________________________________________

Address 

________________________________________________________________________________________________

City, State, Zip

________________________________________________________________________________________________

Telephone 

(      ) ______________________________  e-mail address:________________________________________________

Gathering Cost: $70.00 per person. Includes the Friday evening Get Together (dinner not included), Breakfast Saturday morning, Pasty lunch at Noon on Saturday, the Saturday Evening Banquet, and Breakfast on Sunday morning.   All meals are buffet-style. 
A no breakfast option is available for $55.00.  Persons choosing the no breakfast option will be admitted to the Elks club after each breakfast has ended, but in time for the main morning meeting.  Sorry, only registered attendees will be allowed into the Elks Lodge at any time.

Number of Full registrations ($70.00)

__________ x $70.00 =

A.___________

 

 

 

Number of No Breakfast registrations ($55.00)

__________ x $55.00 =

B.___________

Note: the total number of Full registrations and No Breakfast registrations must equal the number of names listed above. 
Do not count any person twice: One person can either for Full Registration or No Breakfast, but not both.

Total Amount Enclosed (add lines A & B above) 

 $____________

To help with our planning, please make reservations as soon as possible. Make checks payable to: The California Cornish Cousins

Mail your check and registration form to:
Joe Roberts, Treasurer
California Cornish Cousins
5638 N. Alpine Rd.
Stockton, CA 95215

For Gathering information call or e-mail Robin at (559) 584-9090