The Inn at Cranberry Farm

Scrapberry Jam Retreat Registration

Please complete the following form to register for the Scrapberry Jam retreat in Chester, VT.
Registrations will be accepted on a first-come first-serve basis, whether submitted online, by fax, or by mail.

Required fields are marked with an " * "

Registration to Attend Retreat

Prefix:
First Name:	*
Last Name:	*
Address Line 1:	*
Address Line 2:
City:	*
State:	*
Zip:	*
Country:	*
Dates to Attend:	- *
Retreat of Choice:	*
Rates do not include the 9% state tax.
Attendees:	*
Number of Retreat Attendees in room, including yourself.
Roommate 1:
Roommate 2:
Roommate 3:

Home Phone:
*This should be a landline, not a cell number.
Work Phone:
Email Address:	*

Please reserve my seat in the cropping room with the following people:

How did you hear about us?
Internet search Website Sponsor Other

Other Comments:

PAYMENT TERMS:

To hold your reservation, a non refundable deposit of $50 is required. A check made out to The Inn at Cranberry Farm is required within 10 days of your registration being confirmed. The remaining balance will be due 45 days before the event and a notice will go out for final registration. The Inn at Cranberry Farm charges a Returned Check Fee of $30. Mail checks to Inn at Cranberry Farm, 53 Bluestone Drive, Nashua, NH 03060.

REFUND & CANCELLATION POLICIES:

Should you cancel less than 45 days before the event, no refund of any kind will be issued due to expenses we would have incurred on your behalf. The Inn at Cranberry Farm reserves the right to cancel an event due to unforeseen circumstances and is not responsible for any associated costs (such as travel) incurred by registrants. In case of cancellation by the Inn at Cranberry Farm, full refunds will be issued promptly, minus any hotel fees.

AGREEMENT:

By clicking the Submit button, you agree to accept The Inn at Cranberry Farm terms as follows: I confirm that all information provided herein is true and accurate, and I agree to all event policies. I hereby release The Inn at Cranberry Farm, its sponsors, its offices, agents and employees from any and all liability, claims, lawsuits, damages, losses, costs, and expenses of any kind which arise out of or result from my attendance at The Inn at Cranberry Farm retreat, whether or not foreseeable, including without limitation, personal injuries to me or my invitees. With my attendance at the event, I realize that I may be included in publicity photos. I hereby give my consent for the use of these photos and/or comments in future The Inn at Cranberry Farm promotional materials.

WARNING: If your computer has a firewall, it may prevent this form from working. If you do not receive the confirmation page, please copy and paste the form into a blank email and email to scrapberryjam@comcast.net

Inn at Cranberry Farm
Bed & Breakfast
61 Williams River Road
Chester, VT 05143