14th USAWEST SQUARE DANCE CONVENTION® A Quality International Dance Experience in the Western United States REGISTRATION FORM August 13-15, 2015 RED LION© Colonial Hotel – Helena "Destination: Big Sky Country Montana!" Last Name: _____________________________________________________ Address: _______________________________________________________ City: _____________________________________________ State: ______ Country:_________________________________ Postal Code:_________ Telephone: ____________________________________ Email: ___________________________________________________________ Payment  Cash  Check (Make pmt to “USA West 2015 Montana”)  Credit Card (Visa/MasterCard/Discover/Amex) Registration fee per delegate $50.00 Cancellation fee per delegate $5.00 After July 15, 2015 fee per delegate $60.00 Sorry no refunds/confirmation after July 15, 2015 Solo Youth   $ _____________________________________________   $ _____________________________________________   $ _____________________________________________   $ _____________________________________________   $ _____________________________________________   $ _____________________________________________ OTHER Program book (included) 1 @Free $ Wednesday Event @ $25 ea $ RD Syllabus - printed @ $20 ea $ RD Syllabus – CD @ $5 ea $ TOTAL $ For Convention Use only Registration #____________ Check # _____________ Date Rcvd ______________ Credit Card # ______________________________________________________ Expiration Date ______ /______ CVV code ________ (on back of card) Signature: ________________________________________________________ First and Last Name for badges: .00 .00 .00 .00 .00 .00 0 0 .00 .00 .00 .00 .00 Check if you would like to Call or Cue at the convention  Squares  Rounds Where will you be spending most of your time? Squares Rounds  Mainstream  Phase 2  Plus  Phase 3  Advance  Phase 4  Contra  Phase 5  Phase 6 Mail to: Dwain Wood 2015 USA West Square Dance Convention 4682 Pothole Drive Helena, MT 59602 Visit http://www.montana.usawest.net  Contra Convention at: RED LION© Colonial Hotel 2301 Colonial Drive, Helena, MT 59601 Tel: 406-443-2100 | Fax: 406-449-8815 14th USAWEST SQUARE DANCE CONVENTION® HOUSING INFORMATION You will need to make your own housing arrangements. There are a lot of options available in Helena Hotels CONVENTION HOTEL Red Lion Colonial Hotel Days Inn Jorgenson’s Inn and Suites Shilo Inn and Suites Baymont Inn Howard Johnson Fairfield Inn and Suites by Marriot La Quinta Inn and Suites 406-443-2100 406-442-3280 406 442-1770 800-222-2244 406-443-1000 406-443-2300 406-449-9944 406-449-4000 RV Parking Sorry there is no onsite RV parking however there are two close by locations to choose from! Please contact: Lewis and Clark Fairgrounds (Limited hookups) Lincoln Rd RV Park (Full Hookups avail) 406-457-8516 http://www.lewisandclarkcountyfairgrounds.com/wpcontent/uploads/2012/03/Camping_Stall_Form.pdf 406-458-3725 or toll free At 1-800-797-3725 http://www.lincolnroadrvpark.net/ Free parking at the convention center No shuttle service will be provided CVV INFORMATION Our credit card provider requires that you provide the CVV code from your credit card as proof of identity. For Visa, Mastercard, and Discover, the CVV code is a 3-digit number on the right side of the signature line on the back of the card. For American Express, the CVV code is a 4-digit code printed following the card number on the front. RED LION COLONIAL INN HOTEL The get to the Red Lion Colonial Hotel take Capitol Exit 192 off of Interstate 15, follow the sign to the hospital, the Red Lion Colonial Hotel is located on the corner of California and Colonial Drive Visit http://www.montana.usawest.net