Pass Order Form Festival 2005

Name: ___________________________________________

Address: __________________________________________

_________________________________________________

Postal Code: ________________ Phone: _________________

E-mail: ____________________________________________

Full Festival Pass   - $190.00

Includes all sessions and events except workshops & banquet.
Pass Holder admission guaranteed up to ten minutes prior to start time.

#____	Adult Early Bird (by June 30)	x $110.00	________
# ____	Adult Regular  (after June 30)	x $125.00	________
# ____	Student Regular (no early bird)	x $50.00	________
	attending Seven Times Lucky	Yes____	No_____

Please provide names of other pass recipients as a separate attachment

Events:  NOT included with Pass

Thursday Workshops:
The Great Big Book Club	#_____		$25.00	______
Poetry Workshop	#_____		$25.00	______
"Kids Ink"	#____		$10.00	______
Saturday:
Banquet	#____		$25.00	_____
Additional Tickets
Thursday:
Film Seven Times Lucky	#_____		x $8.00	______
Friday:
Luncheon	#_____		x $10.00	______
A Prairie Coastal Eve	#_____		x $15.00	______
Sunday:
Wind-up Lunch	#_____		x $15.00	______
TOTAL ENCLOSED				______

Payment method _____cheque_____cash
                            credit card ($50 minimun) _____Visa _____Mastercard
Card # ____________________________________Expiry__________
Name on card (print)____________________________________________
Signature _____________________________________________________

Refunds:  Before July 4, 2005 only (minus $20 administration fee)
ALL REFUNDS WILL BE MADE BY CHEQUE AFTER THE FESTIVAL

Payments to:
Festival of Words
217 Main Street North
Moose Jaw, Saskatchewan, Canada, S6H 0W1
Telephone: (306) 691-0557
Fax:  (306) 693-2994