BC REGION VENUE ACCOMODATION
REQUEST FORM MUST BE SUBMITTED BY MAY 10TH
Accommodation Location:
Wyndham Nanaimo by Ramada 315 Rosehill St, Nanaimo, BC V9S 1E3 (Please do NOT call the hotel directly)
Regional Meeting Location:
Beban Park Social Centre 2300 Bowen Rd, Nanaimo, BC V9T 3K7
ARRIVAL DATE (please include arrival time. If you are arriving later that 8 PM please call 250-819-3466)
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
DEPARTURE DATE
*
-
Month
-
Day
Year
Date
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Regional Position
*
Please Select
Facilitator
Co-Facilitator
Secretary
Treasurer
Regional Delegate
Alternate Delegate
Regional Guidelines
Regional PR
Regional Venue
Regional Literature
Regional Web-Coord.
Regional Convention
PNW Convention
Area RCM 1
Area RCM 2
Area H&I Facilitator
Area PI Facilitator
Area PR Facilitator
Area Literature Chair
Area GSR
Area Alt-GSR
Other
Do you Qualify for Regional Admin Body Subsidy?
*
Yes
No
Accommodation
2 Queen Beds Per Room (this includes breakfast)
Do you wish to share a room? Please ensure both parties fill out a separate form
*
Yes
No
2 Night Accommodation + Saturday Lunch
1 person in a room = $369.90 per person ($177.48 per night x2 + $15 Saturday lunch)
2 people in a room =$192.48 per person ($88.74 per night x2 + $15 Saturday lunch)
3 people in a room = $133.30 per person ($59.16 per night x2 + $15 Saturday lunch)
4 people in a room= $103.74 per person ($44.37 per night x2 + $15 Saturday lunch)
1 Night Accommodation + Saturday Lunch
1 person in a room =$192.14 per person ($177.48 + $15 Saturday lunch)
2 people in a room =$103.74 per person ($88.74 + $15 Saturday lunch)
3 people in a room = $74.16 per person ($59.16 + $15 Saturday lunch)
4 people in a room= $ 59.37 per person ($44.37 + $15 Saturday lunch)
Who are you sharing with?
First Name
Last Name
Who else are you sharing with?
First Name
Last Name
Meals
Do you have Food Allergy: if yes email venue@bcrna
*
Yes
No
Type of Allergy
if none type N?A
Dietary Needs
*
Vegetarian
Regular
Saturday Lunch Only
The cost for Saturday lunch is $15 per person
Saturday Lunch Only
Send Your E-Transfer Payment to Regional Treasurer at:
treasurer@bcrna.ca For all etransfers put your name and Area in the message box
Questions can be sent to Venue Coordinator (Debbie G) at:
venue@bcrna.ca or call 250-819-3466
Submit
Should be Empty: