June 8-10, 2012 

Maine Canoe Symposium Registration Form June 8-10, 2012 Attendance is limited to 150 participants, register early and don't be left out! Print this form, complete, and mail it to: Maine Canoe Symposium c/o Winona Camps 35 Winona Road Bridgton, ME 04009 Or Fax To: 207-647-2750 For office use only: Date Deposited ____________________ Amount received ___________________ Amount Due ______________________ Name(s): ________________________________________________________________ Address: ________________________________________________________________ City: _______________________ State/Prov: ______ Postal Code: ___________ Telephone: (______)_______________ Email: _______________________________ A. Registration Fee . . . . . . . . .# of Persons . . $ Amount Adults: $65/person before May 1st ($80/person after May 1st). . . . . . . . . _______ . . . $_______ One child 12 or under: $35/person . . . . . _______ . . . $_______ ($40/person after May 1st) Toddlers free All additional children: $20.00/child . . . _______ . . . $_______ ($25.00/additional child after May 1st) One Day Registration $40/person . . . . . . . . . . . . $________ Please circle which day(s): Fri | Sat | Sun (no overnight lodging at Winona allowed with one-day-registration.) B. Accommodations at Winona Camps (For off-site lodging info contact the Bridgton Chamber of Commerce, P.O. Box 236, Bridgton, ME 04009, telephone (207) 647-3472.) (Please circle which night(s): [ Fri | Sat ] #1 Canvas wall tents (4 person maximum): Unit Price X # of nights = Price 1-2 people** . . . . . . $19/tent/night X _______ = $_______ **Names: ________________________ , ________________________ 3-4 people*** . . . . . .$27/tent/night X _______ = $_______ ***Names: _________________________, ________________________, _________________________ , ________________________ #2 Bunkhouses (Newly renovated): Unit Price X #of persons X # of nights = Price Men's bunkhouse . . . . . . . .$10/person/night X _______ X _______ = $_______ Women's bunkhouse . . . . . . .$10/person/night X _______ X _______ = $_______ #3 Your own tent, camper or van $5/person/night X _______ X _______ = $_______   C. Meals at Winona Camps (Meals for Kids 12 & under half price.) Meal Plans: Price X #of persons = Price Saturday breakfast,lunch & dinner, and Sunday breakfast & lunch $44/person X _____ = $_______ Single Meals: Friday dinner. . . . . . .$10/person X _____ = $_______ Saturday breakfast . . . .$10/person X _____ = $_______ Saturday lunch . . . . . .$11/person X _____ = $_______ Saturday dinner . . . . . $17/person X _____ = $_______ Sunday breakfast . . . . .$10/person X _____ = $_______ Sunday lunch . . . . . . .$11/person X _____ = $_______ Total for registration fees, accommodations and meals: $_______ 7% State of Maine meals & lodging tax is included in the above pricing. Make checks payable to: Maine Canoe Symposium. Or pay by Visa/Mastercard: Check one: Visa_____ Mastercard______ Credit Card Number____________________________________ Expiration Date:_____________________ CCV#____________ (The Credit Card Verification Number is the three digits on the back near your signature.) Signature:___________________________ Do not email you credit card information to us, we do not have a secure email service. Print and mail or fax to the address or fax number at the top. Thank You!   Refund Policy: Maine Canoe Symposium Registration: Refunds provided with a 20% processing fee. Or you may defer your registration for the following year. Winona Camps-Food & Lodging: No refunds on food and lodging will be provided after May 1st.. The camp must order and purchase food and supplies well in advance of the symposium and is unable to recoup these costs. jtm5/09 Registration Packet information Download the Registration Form in Adobe.pdf format (8K) Download Free Adobe Acrobat Reader

Maine Canoe Symposium

c/o Winona Camps
35 Winona Road
Bridgton, ME 04009

Reservations: 207-647-3721
Information: 207-778-0853
Email: info@mainecanoesymposium.org