
2010 RED HAT RENDEZVOUS REGISTRATION FORM
Name or title you would like on your badge: _________________________________________
Name of your chapter: ___________________________________________________________
Are you a RED HATTER_________ or PINK HATTER_______?
CONVENTION FEE: $199.00
OPTIONAL ACTIVITIES: Circle the activities you would like to participate in.
FRIDAY:
2:00 p.m. Sombrero Decorating - $10.00
3:00 p.m Dancing with Pat & Denny - FREE
SATURDAY:
10:00 a.m. Tin Punch Luminaria $10.00
2:00 p.m. Mexican Paper Flowers – FREE
2:30 p.m. Sombrero Decorating - $10.00
3:00 p.m. Note Card Making - FREE
MENU OPTIONS: **Please make a choice where indicated by circling the number of your choice. All else is preset. (Vegetarians, please notify us of your special needs)
Friday Evening:
1. Chicken Mole, Ancho Sweet Potatoes and grilled Asparagus
2. Adobo Pork, Ancho Sweet Potatoes and Grilled Asparagus
Salad – Mixed greens with citrus, Cilantro Ranch Dressing
Dessert - Flan Parfait
Saturday Breakfast: Smothered Breakfast Burrito – Scrambled eggs, sausage, potatoes, green chili, pico garnish
Saturday Lunch: Make Your Own” Taco Bar – Taco Meat, Fajita Meat, Refried Beans, Spanish Rice, Shredded Lettuce, Sour Cream, Salsa selection, Cheese, Chips.
Desserts – Churros and Sopapillas (on Buffet)
Saturday Evening:
1. Petite Tender with Ancho Glaze and Arepas with Mango Salsa
2. Banana Leaf Wrapped Mahi Mahi with peppers & onions
Salad – Quinoa Salad with Nopalitos (a type of cactus)
Dessert – Chipotle Cherry Cream Brownies
Sunday Breakfast: Traditional Classic Breakfast with Fruit cup and breakfast breads. Eggs scrambled only.
Do you have any food alergies? __________________________________________________
Do you have any physical limitation? _______________________________________________
PRE-ORDER YOUR EVENT MEMORABILIA:
T-Shirt: (please circle appropriate size) $12.00 each for Small-Medium-Large-X-large
$14.00 each for 2XL 3XL
QTY:____ SIZE:________
Lapel Pin - NEW DESIGN Qty______ @ $6.50 each $_____________
HOTEL REGISTRATION:
There will be a change in room reservations this year for our 2010 convention. Due to the limited number of double rooms, when you register for the convention you will be able to select your room type. The Rendezvous will be handling all room registrations this year. If you choose a double room please note that your roommate will need to be registered by August 31, 2010, after this date all double rooms will be automatically switched to a single room if a roommate has not registered. Your credit card used for your convention registration will be used to guarantee your hotel room.
Double rooms are $89.00 per night (two queen size beds) and Single rooms are $69.00 per night (one king size bed.)
Hatter #1___________________________________________________________________
Hatter #2___________________________________________________________________
Special room request:
NEW FOR 2010: CREDIT CARD PAYMENT PLAN
Rendezvous is happy to announce that we have set up a payment plan for the 2010 Rendezvous convention for event registration, classes and memorabilia, hotel charges will be billed separately through the Marriott Hotel at checkout. This payment plan will consist of 4 consecutive monthly payments of $49.75; your first payment will be billed on the date your registration is recieved, your next billing will be the following month on the same date as your first payment. Final payment must be made by August 1, 2010. Class fees and memorabilia will be divided equally and will be added to your monthly convention fee and billed to your credit card accordingly.
To participate in this payment plan your registration must be received by May 1, 2010.
There is a NO REFUND policy for the monthly payment plan should need to cancel for any reason please contact Nancy Neville at queennaneki@yahoo.com or 866.228.7498.
Please check:
I understand and accept and agree to the 2010 Rendezvous Credit Card monthly payment plan to commence on the date my registration is received, with final payment by/on August 1, 2010
___________YES, I understand, accept and agree. I authorize Red Hat Rendezvous to charge my Credit Card each month for a period of 4 months in the amount of $49.75 per month plus my class fees and memorabilia.
____________NO, Thank you- Just sign me up and charge my credit card $199.00 plus above extras.
____________ NO, Thank you – I am enclosing my check for $199.00 plus cost of extras.
NON CREDIT CARD PAYMENT PLAN CANCELLATION POLICY
Convention registrations may be cancelled until midnight August 31, 2010 for a full refund, minus a $50.00 processing fee.
PLEASE NOTE:
*The Colorado Red Hat Rendezvous is not responsible for refunds of any fee or expenses beyond the convention fee.
*Once you have received your hotel confirmation in the mail, all changes will be handled through the Marriott Hotel, all hotel charges and refunds will be made directly through the hotel.
*NO SHOWS will be considered a non-refundable cancellation.
*There will be a $30.00 fee added for Insufficient Funds check.
Please print legibly:
NAME: ______________________________________________________________________________________
ADDRESS: ___________________________________________________________________________________
CITY, STATE & ZIP: ___________________________________________________________________________
E-MAIL ADDRESS: ___________________________________________________________________________
PHONE NUMBER: ____________________________________________________________________________
CREDIT CARD: (We only accept Visa or Master Card): _______________________________________________
EXPIRATION DATE: ___________________ CVC: 3 DIGIT CODE (In box on back of card): __________
ROOM CHOOSE: SINGLE ROOM: ______________ DOUBLE ROOM: _____________
TOTAL CONVENTION FEES - $199.00 +________________________ = _______________________
SIGNATURE: _________________________________________________________________________________
Please mail in your registration to:
Colorado Red Hat Rendezvous
830 Wheatglen Court
Colorado Springs, CO 80906
Email – queennaneki@yahoo.com
Phone: 866-228-7498