Tut-Kalifornia Esperanto-Konferenco en 2005 [TKEK-2005]
25-27 februaro, 2005
(vendredon vespere ĝis dimanĉo tagmeze)
en bela Santa Barbara, Kalifornio, Usono
APPLICATION FORM (select and print only the form)
Your name(s) - please print_______________________________________ Phone: __________
Address:____________________________________________________________________________
(Street/Post office box City State E-mail)
Enclosed is my registration fee [includes buffet dinner].
$40 each for____persons.................................................... $_______
Choose vegetarian___ or non-vegetarian ____ (how many of each?)
Please reserve _______ extra dinner-tickets @ $18 ......................... $_______
Choose vegetarian___ or non-vegetarian____ (how many of each?)
Enclosed is $5 for the basic___ intermediate__ advanced__ examination ..... $_______
Total enclosed: ........................................................... $_______
Address your check/money order to ESPERANTO CONFERENCE
and send it with this application to:
5243 University Dr.
Santa Barbara CA 93111-1732
before Feb 11, 2005.
*I would like to make the following presentation(s);
Morning or afternoon discussion/lecture re __________________________________________
Saturday evening after-dinner entertainment: ________________________________________
Sunday-morning presentation:_________________________________________________________
I would like a less expensive room in another hotel ____ ; home hospitality ____
Questions? Contact Dorothy Holland (805-967-5241 )