IC05 INTERNATIONAL CONFERENCE ONLINE REGISTRATION FORM

The Urantia Book Fellowship
Making Spirit Matter -- The Next Fifty Years
July 30 - August 4, 2005
Villanova University -- Villanova, Pennsylvania USA
SECTION 1        PERSONAL INFORMATION  
First Name:                 Last Name:
Address 1: Address 2:
City: State: Country: Postal Code:
Day Phone: Evening Phone: Cell:
Fax #: E-mail Address:  
Primary Language:
 Secondary Language: This is my first conference:


Please enter the names of each member in your group including yourself, as you would like these names to appear on the conference nametags. Please include ages for attendees under 18 years of age and check the Youth Program column for each participant. Additional information on the program will be sent to you.

  First Name Last Name Gender Youth Program Age
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2.


3.


4.


5.


6.


7.



SECTION 2        REGISTRATION AND COMMUTER FEES

On Campus:
Adults $100 before April 30 $130 after April 30 $145 after June 30
Children/Youth, Ages 4-18 $25 $50 $50

No charge for children age 3 and under

adult registrations @ fee of: Total: $
youth registrations @ fee of: Total: $

Commuters pay a daily registration fee of $30 per adult and $20 for attendees aged 4 through 18. Please check the days you plan to attend.

Sunday, July 31:   Monday, August 1:   (Tuesday, August 2, Free Day)    Wednesday, August 3:
Adult commuters @ $30 each for days Total: $
Youth commuters @ $20 each for days Total: $
   Total: $

SECTION 3       ACCOMMODATIONS

All buildings have elevators. All apartments are air-conditioned and handicap accessible. Linens and a set of towels provided.
Types of suites:
       Suite I: 4 single bedrooms, 2 bathrooms, sitting area, and kitchenette (total of 4 beds).
       Suite II: 2 double bedrooms, 2 bathrooms, sitting area, and kitchenette (total of 4 beds).
If the entire suite is reserved, one conference registrant is responsible for the entire suite payment.

Please indicate your desire for accommodations:
  Entire Suite I with 4 individual bedrooms w/1 bed in each room @ $740.00
  Entire Suite II with 2 individual bedrooms w/2 beds in each room @ $660.00
I would like to share a suite with:  
          First Name: Last Name:
          First Name: Last Name:
          First Name: Last Name:

OR
Suite I single room beds @ $210.00 each Total: $
Suite II double room beds @ $190.00 each Total: $
Youth under 18 in own bed in room with registered adults x $100.00 each
(No charge for youth in sleeping bag on floor in room with registered adults)		 Total: $

I would like to share a double room with:
First Name:     Last Name:

If you have no roommate preference, every effort will be made to assign appropriate roommates.
           Age range:                   Gender:

Partial Attendance: Nightly rate is $50 per night/per person if rooms are available.

Please check the nights you need housing:
Sat. Jul 30 , Sun Jul 31 , Mon Aug 1 , Tue Aug 2 , Wed Aug 3

        persons for nights @ $50 per night Total: $

Extra Nights Before or After Conference: Room only, meals not included
Additional nights needed: Thu Jul 28 , Fri Jul 29 , Thu Aug 4 , Fri Aug 5 , Sat Aug 6

Single Room nights @ $42 per night Total: $
Double Room nights @ $37 per night Total: $
           Total: $
I would like to share with:  First Name: Last Name:
  First Name: Last Name:
  First Name: Last Name:
SECTION 4     MEAL PLAN    (Must be purchased by July 15)

MEALS INCLUDE: Saturday -- Dinner | Sunday -- Breakfast, Lunch, Dinner | Monday -- Breakfast, Lunch, Dinner | Tuesday -- Breakfast only (Free Day) | Wednesday -- Breakfast, Lunch, *Dinner | Thursday -- Breakfast, Lunch.           Vegetarian meals are available.           *Wednesday dinner is the Gala Banquet, dress up requested.

COMMUTERS: You are on your own for meals. You must purchase tickets if you wish to attend the Wednesday Gala Banquet. The price is $30.00 for adults and $15 for youth 6 through 11.

Adults (12 years and up) persons @ $135.00 each Total: $
Youth (Ages 6-11 -- under 6 years no charge) persons @ $70.00 each Total: $
  Total: $
Wednesday Gala Banquet for Commuters (Gala Banquet included in Meal Plan above)
Adults (12 years and up) persons @ $30.00 each Total: $
Youth (Ages 6-11 -- under 6 years no charge) persons @ $15.00 each Total: $
  Total: $


Scholarship Contributions: The Scholarship Fund is to help readers in need to attend the conference.
Yes! I will contribute to the Scholarship Fund.
Children's and Youth Program Contribution: This fund will help defray the cost of the special programs for these young attendees.
Yes! I will contribute to the Youth Program.


T-Shirts with conference logo and quotation will be available for $10.00 each.
Small I want small T-shirts @ $10 each Total cost: $
Medium I want medium T-shirts @ $10 each Total cost: $
Large I want large T-shirts @ $10 each Total cost: $
X Large I want extra large T-shirts @ $10.00 each Total cost: $
       Total: $

SECTION 5     SPECIAL EVENTS

Free Day Trips

A. Cradle of Liberty $39 per person.
Begin your day in the future at the Franklin Institute, which features four floors of interactive scientific exhibits, see an IMAX movie, explore galaxies in the planetarium, and visit historic Philadelphia with a guide.

B. Longwood Gardens/Brandywine Museum $59 per person ($51 for persons under 15 years of age).
America's premier horticultural display with a Conservatory and 40 blooming gardens, festival of outdoor fountains, concerts, lunch included. Brandywine Museum is a Century-old grist mill converted to a modern art museum exhibiting works by three generations of Wyeths and other famous artists.

C. Hershey Park $40 per person ($36 for persons age 3 through 8).
The great American chocolate town tucked in the rolling hills of Pennsylvania. Chocolate World welcomes you to the wonderful world of Hershey. Follow the cocoa bean on its way to becoming a Hershey bar. The amusement park offers the latest and greatest entertainment for families with eight roller coasters, water rides, and much more. In order to keep the cost low for this all day amusement partk, the bus is an air-conditioned school bus.

D. Amish Experience Tour $66 per person ($55 for persons age 12 and under).
Tour the Amish country Homestead through farmlands and back roads to see the beauty of the Amish countryside, stopping at Amish shops and cottage industries. A 40 minute, five screen, special effects, 3-D imagery movie theatre, unfolding the life of the Fisher Family from Europe to America and their struggle to choose between Amish values and the "English" way of life. This includes a family-style meal at their Plain and Fancy Restaurant.

E. On Your Own -- From the train station on campus to Center City where you can connect with trolley busses that run loops around all the special places of interest in the city. All day passes with on/off privileges are available there.

Please indicate which Free Day trips you would like to take:
Trip A: Cradle of Liberty persons @ $39 Total:
Trip B: Longwood Gardens/Brandywine Museum adults @ $59

youth 15 or under @ $51		 Total:
Trip C: Hershey Park

adults @ $40

youth aged 3-8 @ $36

 Total:
Trip D: Amish Experience

adults @ $66

youth under 12 @ $55

 Total:
    Total:

Pre-Conference Retreats and other programs (Check all that apply )

Spiritual Retreat: "Experiencing Spirit in Everyday Life," Friday, July 29 at 5:00 PM through Saturday, July 30 at 4:00 PM. The retreat will include centering prayer, readings from The Urantia Book, music, silent reflection time, group sharing, and will end with a worship. For further information, send an e-mail inquiry.

Music Retreat: The Music Retreat is being provided to rehearse and play, Friday, July 29 through Saturday, July 30. We will share perspectives on the creative process. We are going to look at how we may creatively find new ways of musical expression from the paradigm of the soul-consciousness experience. For further information, send an e-mail inquiry.
Merchandise for Sale: The sale of merchandise will be in our bookstore. Arrangements must be made in advance. For further information, send an e-mail inquiry

Art Gallery: If you would like to display your art in the gallery, please describe the type of work and number of pieces. For further information, send an e-mail inquiry

Children's and Youth Programs: Free children's and youth programs -- including the popular Jerusalem Marketplace -- will be provided for various age ranges. However, you must register and pay for Free Day trips in Section 5 above. For further information, send an e-mail inquiry .

Volunteers Needed: If you are willing to help, please check the areas in which you would be willing to participate:
Registration Youth Program On Site Transportation Where Needed

SECTION 6         TOTALS AND BILLING AUTHORIZATION
Registration Fees: $
Accommodations Total: $
Meal Plan Total: $
Commuter Gala Banquet Total: $
T-Shirts Order Total: $
Free Day Trips Total: $
Scholarship Fund Contribution: $
Youth Program Contribution: $
     $ Grand Total
Registration deposit submitted with this form: $ (Minimum one adult registration must be submitted)
   $   (Balance due before June 30)

Credit Card Payment Using Secure Transaction Server:

MC   Visa    Card Number:   Expires:  Month Year
Name on Card:
 

Note:
At least one adult registration fee must accompany this form. Final payment is due before June 30, 2005. Your credit card automatically will be debited the balance due on June 30, 2005. A Statement will be sent to confirm receipt of your registration. Please review and notify us of any discrepancy.

CANCELLATION POLICY: No refunds after July 1, 2005

Print a copy of this form for your records and click button below to submit:

Thank you!