Registration Form

Welcome to the Stoker Area Fall Retreat.  We are delighted that you will be joining us. We are planning an inspirational and motivational weekend, and we want to thank you for helping to make that happen. By giving us as much of the information below as you can, we can ensure that we meet your needs.
Registration Information:

The cost to attend the Fall Retreat is $189.00 (taxes included).  Husbands’ registrations are $159.00.

Payment can be made by VISA, MC, Amex or personal cheque. Make cheques payable to “Angie Stoker.”

Please completely fill out the attached registration. Incomplete registrations can lead to incorrect preparations being made on your behalf, and may be returned.

Space available, you will be allowed to register on-site. Please don’t rely on this however. We will sell out!

 Refund Policy: **

A full refund will be offered if your cancellation is received by September 15th.

A $25.00 service charge (+ $3.25 HST) will be deducted from all refunds for cancellations received from September 16th  to October 5th. 

No refunds are possible after October 5th. An effort will be made to sell your registration to another participant, with a $25.00 re-registration penalty.

** Please understand that we enter into financial contracts with Hotel du Lac that bind us to providing numbers of people that we will be having at the Retreat. The hotel then makes arrangements based on those obligations. If fewer people come, we still have to pay for all of the arrangements made on our behalf. Therefore, the earlier we receive a cancellation, the more flexibility we have to refund the money and replace the registration or adjust our commitment to the hotel.
Please completely fill out the form on this page (even if you think we already know it). 
                   When you have completed all of the fields, click the Send Registration button.
Personal Information:
Your Name:
Your Spouse's Name (only if he is registering):
.
Your E-mail Address:
Your Telephone Number:
Your Mobile Number (on the road):
.
Your Mailing Address:
Apartment / Unit / etc:
City:
Province:
Postal Code:
Professional Information:
Your Consultant Number:
Your Director's Name:
 
Your National's Name:

Please choose the option that best describes where you are (or will be by the time of the Retreat) in your Mary Kay career

New Consultant  (in the Company less than 6 months) Executive Senior Sales Director 
Consultant (more than 6 months) Elite Executive Senior Sales Director 
Red Jacket / Team Manager National Sales Director
Future Director (8 qualified recruits or more) Senior National Sales Director
DIQ (Director-in-Qualification) Executive National Sales Director
Sales Director Elite Executive National Sales Director
Senior Sales Director National Sales Director (Emeritus)
Language(s): It is important to ensure we have enough translation equipment to cover everyone. All of our teachers and speakers will speak in their mother tongue, which means if you are not bi-lingual, you will probably need translation at some point in the Retreat.  Please choose the option that best describes you (and your husband)
 
You:
   I speak English mostly / need French translation
   I speak French mostly / need English translation
   I am bi-lingual and do not need translation		 Husband  (again, only if he is registering):
   He speaks English mostly / needs French translation
   He speaks French mostly / needs English translation
   He is bi-lingual and does not need translation
Hotel Accommodations:  To receive the preferred rates we have negotiated, hotel accommodations must be reserved through us. We will use the accommodations of the Hotel du Lac and will "overflow" into a sister hotel called Cap Tremblant Mountain Resort. Each hotel has one and two bedroom condo suites. The one bedroom suite includes a separate (private) bedroom, bathroom, a small kitchen (with fridge, stove, microwave, cofee maker, dishes etc.), dining area, living room with fireplace and a balcony overlooking Lac Tremblant, with the ski hill and  resort development as a backdrop. The living room has either a convertible sofa or a Murphy bed for two more, making the suite a suitable accommodation for 4 people.  The two bedroom suites have an additional private bedroom with an en suite bathroom, making it suitable for six people.

The cost of the accommodation is not included in the registration and you are not required to stay in the hotel. If you have a house or condo or friends in the area, you can stay there.  Just click the "Not staying at the hotel" button and ignore the remainder of this section.

I will check in to the hotel on:
 Thursday  Friday  Saturday  Not staying at the hotel
 I will check out of the hotel on:
 Saturday  Sunday  Monday
AND / OR
Please make the following extra arrangements for me
Total # of People in Room (including you):
   One   Two  Three  Four  Five  Six
Room Mate Names:
(not including you)

 

OR  Please assign me some room mates

  #1 
 #2 
 #3 
 #4 
 #5 

Food Preferences / Allergies:
Please indicate if you have any food preferences or allergies which require special considerations for our food services
 

You: 
Your Spouse (Only if Registering): 
Travelling to the Retreat:
Please indicate how you are planning to travel to the Retreat, so we can plan for parking and shuttle arrangements. If you are flying and then plan to rent a car (or if someone is picking you up and bringing you to Retreat)  please choose the option as if you were going to drive all the way.
 
   I will be driving my own car to the Retreat.
   I will be driving with one (or more) of my room mate(s)
   I will be driving with someone other than a room mate
   I will need a ride to Retreat.		 If you are driving to Retreat and you have room in your car to bring someone with you, please indicate how many people you have room for.
I can accommodate    extra people in my car.
   I will be flying into Montreal and need a ride to Retreat
   I will be flying into Ottawa and need a ride to Retreat.		 If you are flying and need a ride, please complete the following.
Arrive: Thursday  Friday  Saturday
Flight/Time: 

Depart: Saturday Sunday  Monday  Later
Flight/Time: 

Please enter any extra comments regarding your travel needs: 
Registration Payment:
You can pay the registration by Visa, MasterCard or American Express. Enter your credit card number in grid below. Your credit card info is absolutely safe. Below is a table of radio buttons where you can indicate your credit card number. Start with the left column and click on the first number (ie 4 for a VISA card) and work your way across. Please do not skip a column. There are separate grids for expiry date and card security code (CSC) below. If you are entering an American Express card (with only 15 digits), leave the far right column empty.  For a better explanation in filling out the grid, please scoll down to the bottom of this page. Cost Calculation:

Registration: $189.00 ($167.26 + $21.74 HST)

Spouse:  $159.00 ($140.71 + $18.29 HST)

 (hotel accommodation costs are extra)
Credit Card Number - 
1
  
1
1
1
2
  
2
2
2
3
3
3
3
4
4
4
4
5
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7
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0
  
0
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Card Security Code (CSC):
 
1
2
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0
Empty
X
X
X

Expiry Date:  Below, please choose the expiry month and year. See the note at right for an explanation of why I use this method.

 The Card Security Code, which is also known as a Credit Card ID (CCID) is often asked for by merchants for them to secure "card not present" transactions occurring over the Internet, by mail, fax or over the phone. Using the new authorization process I have just switched to, and due to increased attempts at card fraud worldwide, it is now mandatory to provide this code when the cardholder is not present.

Please enter the CSC in the grid at left. If you have a three digit CSC, mark the furthest-right column as empty.

The CSC is located on the back of MasterCard and Visa. It is typically a separate group of 3 digits to the right of the signature strip.
On American Express cards, 
the CSC is a printed
(NOT embossed) group of 4 digits on the front towards the right.
    Month                   Year
Jan
Feb
2011
2016
Mar
Apr
2012
2017
May
Jun
2013
2018
Jul
Aug
2014
2019
Sep
Oct
2015
.
Nov
Dec
 . .
NOTE:You are probably wondering why I chose to ask for credit card numbers the way I did in the grid above. It isn't usually considered safe for you to give credit card numbers over email, but the way I have done it converts the numbers you give me into meaningless characters, and transmits them to me as if they were answers to a multiple choice survey. Only when I enter them into my records do they become numbers again. That way, your credit card number is safe, even if it is intercepted. Secure sites are a magnet for hackers. Every site which hackers have broken into to steal credit card numbers was "secure".

Comments and/or Questions:
If you have any questions regarding the Stoker Fall Retreat, 
please feel free to do so in the box at left. 
I'll be happy to answer any questions by return email.

........

Help with filling out the credit card grid.

The grid is filled out from left to right, using each column of dots to record the digits of your credit card number. Imagine your number written above the grid, as depicted below, for the Visa number 4500 8565 4374 3685. Note that only 3,4 and 5 are available in the first column since I only accept Visa(which all start with 4), MasterCard (which start with 5) and Amex (which start with 3). When I receive the message, it will look like you filled out a survey.