Next Generation, Global Ecovillage Network
Planning Meeting for the US
August 3 to 5, 2007
Westtown School, Westtown PA
Registration for NextGEN planning meeting.
Please e-mail (email@example.com), fax (610-399-6621) or mail this form to: Next GEN c/o Paula Kline 1019 Ashley Rd. West Chester, PA 19382 USA Your check or money order for $50.00 should be mailed to the same address. Money orders should be made out to Westtown School.
First Name: _______________________
Last Name: _______________________
Telephone number: _________________
Gender: male ____ female ___
___ I will be arriving on Thursday and wish to participate in the pre-meeting workshops
___ I will be arriving on Saturday
Did you attend the GEN Conference in October 2005 at Findhorn? No___ Yes ___
Did you attend the planning meeting in Mexico in July 2006? Yes__ No___
Are you affiliated with an eco-village? No Yes
Name of eco-village _______________________________
Location of eco-village:_____________________________
Are you affiliated with another organization? No Yes
Name of organization: __________________________
Will you be attending as an elder ____ or as youth leader _____
Do you have any dietary needs? Are you allergic to certain foods?
Special needs – do you have any special needs that need to be tended to at the meeting?
If you cannot attend, but would like to assist a young adult to be able to attend, please send your contribution to the registration address. Checks or money orders should be made out to: Westtown School and sent to Paula Kline 1019 Ashley Rd. West Chester, PA 19382 USA
Return this form by: e-mail (firstname.lastname@example.org), fax (610-399-6621)
Or mail this form to: Paula Kline 1019 Ashley Rd. West Chester, PA 19382 USA