COMEGA Weekend - Registration Form

Conference fees cover the cost of meals, workshops, activities and lodging. Each participant will be responsible for his own cleanup at the end of the day and before the Sunday departure.

Cost for the weekend is $165. Register early to guarantee your space!

A limited number of Partial Scholarships can be made available. We don't want to see financial hardship come between you and your ability to attend COMEGA. Call Dennis Knapp at (860) 974-0494 for more information.

Name:

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Address:

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City :

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State / Zip.

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Phone:

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E-mail address

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l prefer vegetarian meals.
If you have special dietary requirements, please contact Jody Grose at (203) 426-2156.

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Basic Fee: $ __________ Donation toward Scholarships (optional): $ __________

Total: $_______________ Please make checks payable to COMEGA.

Once your application has been received we will mail you more detailed information about the event as well as directions to Camp Hazen. Send this registration form, along with your check or money order, to:
COMEGA P.O. Box 1041, Willimantic, CT 06226

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