Registration Form

Irish Language and Culture Weekend
October 6-8, 2017
Madison, Wisconsin

Please print this form and send to Celtic Cultural Center, PO Box 260037, Madison WI 53726-0037. Thanks!

Name:

Address:

 

Work phone:

Home phone:

E-mail:

Lodging (see "Cost / Accommodations"):

____ I am planning to stay at the Lowell Center, and have contacted them for room reservations.

____ I will be staying elsewhere during the weekend.

Please indicate your level of Irish by circling one of the following:

To register for the weekend, please mail the completed registration form along with payment in full to guarantee your reservation to attend the program. Payment is due by September 30, 2017 unless special arrangements are made by contacting Dineen (dineengr [at] gmail.com). Checks should be made payable to the Celtic Cultural Center of Madison and mailed to: Celtic Cultural Center, PO Box 260037, Madison WI 53726-0037. Sorry, there are no refunds available after September 30, 2017.

Return to the description of the weekend.
celticmadison.org