Please Completely Fill-In Both Pages of This Form and Send to M & P Via Fax (604-524-5353)

Please Completely Fill-In Both Pages of This Form and Send to M & P Via Fax (604-524-5353)

Please completely fill-in both pages of this form and send to M & P via fax (604-524-5353) or email as an attachment to

Reservation Details:

Last Name: First Name:

Total # in Party: # of Adults: # of Teens: # of Children:

ADULTS / CHILDREN & TEENS
FIRST & LAST NAME / T-SHIRT SIZE* / FIRST & LAST NAME / AGE

*Available Unisex T-Shirt sizes for adults only: S, M, L, XL, or XXL

Contact Information:

Email: Cell Phone:

Rendezvous Value Price:

Your 2013 M&P Rendezvous Includes:

ADULTS
* Welcome Gift
* Saturday Fun Events
* Saturday Night BBQ Dinner
* Sunday BBQ Lunch
* Sunday Olympics
* Prizes
* Sunday Night Gala Banquet & Entertainment
* Collector’s Edition Rendezvous 2013 T-Shirt
Cost per adult = $168* / TEENS (ages 13 – 18)
* Saturday Night BBQ Dinner
* Saturday Fun Events
* Sunday BBQ Lunch
* Sunday Olympics
* Prizes
* Sunday Night Gala Banquet
Cost per teen = $85 / KIDS (12 & under)
* All Day Saturday Kids Camp
* Saturday Night Pool Party &
Dinner
* Sunday Kids Olympics
* Prizes
* Sunday Night Kids Banquet
**Kids camp enrolment on following page required
Cost per child = $50

*This is an M&P client appreciation event. If you did not purchase your

boat from M&P, you are invited to attend (space permitting) for $245/ adult.

Moorage Reservation:

Marina rates are $1.75/ft per day plus shore power (under 40’ = $4.50 per night,

40’ – 60’= $6.50 per night, 61’and up = $8.50 per night)

Year of Boat: Boat Model:

Name of Boat: Length: Beam:

Arrival Date:Departure Date:

Fri, Aug 30 Sat, Aug 31

Sat, Aug 31 Sun, Sept 1

Sun, Sept 1 Mon, Sept 2

Kids Camp Enrolment:

Please let us know which events your children will be attending.

FIRST & LAST NAME / AGE / EVENTS
Saturday All-Day Kids Camp
Saturday Night Pool Party & Dinner
Sunday Kids Olympics
Sunday Night Kids Banquet
Saturday All-Day Kids Camp
Saturday Night Pool Party & Dinner
Sunday Kids Olympics
Sunday Night Kids Banquet
Saturday All-Day Kids Camp
Saturday Night Pool Party & Dinner
Sunday Kids Olympics
Sunday Night Kids Banquet

Credit Card Information: *Required to reserve your space at this year’s Rendezvous

 The charge per attendee will be charged to your credit card by M & P Mercury*

 Moorage & Hotel reservations (if applicable) will be charged to your credit card by Poets Cove Resort

Type of Card: VISA MASTERCARD AMERICAN EXPRESS

Credit Card Number:

Expiry Date: Name of Cardholder:

Signature of Card Holder

*your card will be charged for all attendees at the time of your reservation.

Please send the completed forms via fax, email, or regular mail to:

M&P Mercury, ATTN: KRISTY DELINE Phone: 604-524-0311

Fax: 604-524-5353Email:

Silent Auction Donation Contract

Date of Auction: Sunday, September 1, 2013

Company / Donor Name:
Contact Information:
Address: ______
City: ______Province:______Postal Code:______
Telephone:______Fax:______
Email address:______Website: ______
My donation will be in the form of a:
Favour to be redeemed at a later date
Gift Certificate Merchandise
Description / A complete and accurate description of the donated item enables us to properly describe and publicize your donation. Please include as many details as possible to a maximum of 50 words.
______
______
Restrictions / Please list any restrictions that pertain to this donation. Unless otherwise specified, all donations will expire on August 31, 2013
______
Value / $ ______
I require a tax receipt. Please note that CRA legislation requires an invoice reflecting fair market value of all tangible items before a tax receipt can be issued.
An independent appraiser, in writing, must confirm valuation of all works of art, jewelry and antiques. Unfortunately CRA legislation does not allow tax receipt to be issued for donated services, priceless items, or gift certificates.
CANUCK PLACE PRIVACY POLICY – At Canuck Place Children’s Hospice, we recognize that privacy and the protection of personal information is important. Therefore, in compliance with the Privacy Act, we cannot divulge any buyer information.

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