Tour Registration Form
23rd Annual General Meeting Registration Form
Jane Austen Society of North America
October 5-7, Seattle, Washington


Name: _________________________________________________________________

Mailing Address: _________________________________________________________
                                                            (Number and Street)

City: _____________________State/Province: _______Zip or Postal code: ___________

Day Phone: _______________Evening Phone: _________________________

Email Address: _________________________________________________

Hotel in Seattle: ____________________________

Special needs or dietary concerns - please have someone contact me (Yes/No): _______

Payment Options:

__________ Check (Payable to Convention Services NW)

__________ Credit card (MasterCard, VISA, American Express, Discover, Diner's Club)

                     Number: ________________________
                     Expiration Date:___________________
                     Signature: _________________________________


Thursday, October 4 Tillicum Village Salmon Dinner Cruse $77 x _____ tickets $__________________
  Northwest Houseboat Tour $53 x _____ tickets $__________________
  Chateau Ste. Michelle Winery Tour $28 x _____ tickets $__________________
  Bloedel Gardens Reserve & Kiana Lodge $65 x _____ tickets $__________________
Friday October 5 Sample Seattle Deluxe City Tour $27 x _____ tickets $__________________
  Taste of the Northwest - Cooking Demo $99 x _____ tickets $__________________
Sunday October 7 Sample Seattle Deluxe City Tour $27 x _____ tickets $__________________
  Doll Museum and High Tea at Sorrento $55 x _____ tickets $__________________
  Harvard/Belmont Historic Architectural Tour $49 x _____ tickets $__________________
Monday October 8 Northwest Houseboat Tour $53 x _____ tickets $__________________
  Doll Museum and High Tea at Sorrento $55 x _____ tickets $__________________
  Victoria, B.C. Day Trip $173 x _____ tickets $__________________
Total     $__________________

To register for the tours, please complete this form and return to:

        Convention Services NW
        Tower Building Suite 1414
        1809 Seventh Avenue
        Seattle, WA 98101

        Tel:           206-292-9198
        Fax:          206-292-0559

Tour Departures:  All tours will depart from the hotel lobby.  Please arrive 15 minutes prior to tour departure time.

Reservations:  Reservations must be received by September 5, 2001.  You may pick up your tickets at the Jane Austen Society of North America Registration Desk upon arrival.

Refunds: Refunds for cancellation will be made if written request is received at the Convention Services Northwest Office by September 5, 2001, less a $5 handling fee per ticket.  After September 5, no refunds or exchanges can be made.  If minimum registration on a tour is not met, Convention Services Northwest will refund the cancelled tour or apply the refund toward another tour.

Passport and Identification:  Passport required for all non-U.S. citizens and naturalized citizens only.  A photo I.D. suffices for U.S. citizens.