Summer & Fall Reading Retreats, 2016
Aug. 25-28, Sept. 8-11 and Oct. 6-9
Please sign me up for the 2016 Reading Retreats.
City________________________ State ________ Zip ____________________
Phone with area code___________________
My session preference: Check the session you wish to attend; if you're flexible, number the sessions in order of preference.
____ Aug. 25-28 ____ Sept. 8-11 ____ Oct. 6-9
I plan to attend with ______________________________________
______ My check for $100 is enclosed (made out to Minnesota Women's Press)
______ Please charge the $100 deposit to my credit card
Kind of card: ____ Visa _____ Mastercard _____Discover
Name on card: ______________________________________________
Number on card: ____________________________________________
Expiration date: ________ Security code (3 numbers on back): _______
Room preference (Rooms will be assigned in order of request; we try to accommodate requests when possible.)
_______ I'd like to room with _________________________________________
_______ I'm open to sharing a double room with anyone.
_______ I'd prefer a single room if available.
Mail this form within three weeks to:
2016 Reading Retreats,
Minnesota Women's Press
970 Raymond Ave., Suite 201,
St. Paul MN 55114