Massage Exchange Weekend Registration

Massage Exchange Weekend June 23-25, 2017
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Please enter information, print and send form with payment. 
Sep. 25, 2017
First Name:   Last Name:   Phone:
Address:   Phone (alternate):
City:   State:   ZIP:   Country:
E-Mail:   Club Affiliation (if any):
Session: Dates: Session
Early Bird Price Extended
Massage Exchange Weekend June 23-25 $99 $69
Registration - held at Starland Retreat Center, Yucca Valley, CA, price includes all meals, camping or sleeping on a mattress in the meeting hall. Weekend begins Friday, June 23, at 6:00 p.m. although you may arrive as early as noon, ends Sunday, June 25 at 10:00 a.m.. Friday evening dinner (6/23) is a pot luck. Pre-registration required.
Bring A Massage Table and receive a $30 discount
Optional upgrade 2-person room, add $89 per person
Optional upgrade 2-person cabin, add $69 per person
Optional upgrade 3-person room, add $69 per person
Optional rental of 2 sheets, 1 blanket, 1 pillow, 1 pillow case, 1 towel (add $34)
Optional donation to "Scholarship Fund" (partial scholarships available as funds permit)
Membership in CMEN International for year 2017 (required)
Amount to be paid at this time:
If paying by Visa or Master Card, Acct. No:
Expiration: /
$75 deposit holds your place. Balance due May 31, 2017. Deposit is non-refundable, but is transferable to another person for the same gathering with written notification by May 1, 2017. To transfer, you must send by U.S. MAIL ONLY the new person's registration form and a written acknowledgement authorizing them to attend in your place.
Refund policy: Before May 1, 2017, Full refund less $75 deposit. After May 1, 2017, no refunds for any reason.
You must be at least 21 years old and male to attend this event.

*must be postmarked by date indicated, **no hookups
To Register, Please Print and Mail This Form With Your Check To: CMEN, 8424-A Santa Monica Blvd.. #119, West Hollywood, CA 90069. Make Checks, payable in US Dollars, to: CMEN. Listed prices reflect discount for check or cash, credit card prices 5 percent higher. Credit card charges will appear as CMEN or West Coast Gathering.

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