April 22nd - 25th 2010

Ellenville, Catskill Mts, New York
Phone: 1-866-345-6028

Tim Gillis accepts Visa, Master Card, American Express and Discover credit cards

PLEASE READ AND FOLLOW THESE INSTRUCTIONS!!
You must do 2 things in order to register and pay for this event:
You have to REGISTER AND You have to PURCHASE!

1) REGISTER FOR THE EVENT
Fill out the registration form on this page and click on the "Submit to Tim Gillis" button at the BOTTOM of this page. This will send you to the Online Registration Confirmation page. On that page you can double check what you sent, then click on the link that says "Make Your Purchase". That will bring you to the Tim Gillis Spring Dance Weekend Credit Card Purchase Page to make your purchase.

2) MAKE YOUR PURCHASE FOR THE EVENT
Go to the Tim Gillis Spring Dance Weekend Credit Card Purchase Page. Use the 'Buy Now' buttons to make your purchase using Tim's new secure shopping cart. Just click on the button next to the item(s) you wish to pay for. You will be taken to the Tim Gillis Dance Weekends' shopping cart. If you wish to return back to that page before you make your final purchase, just click on 'Continue Shopping' which is at the bottom of the shopping cart.

DID YOU READ THE INSTRUCTIONS?
IF NOT, PLEASE GO BACK AND DO SO!

E-mail: (required field)

Event:

Venue:

Name: (required field)

Street Address:

Any Additional Address Information:

City:

State/Prov:

Zip/Postal:

Home Phone:

Business Phone:

Mobile Phone:

Verify E-mail:

How many nights will you be staying?
(please choose from the list below)
  3 Nights - Thursday, Friday & Saturday
  2 Nights - Friday & Saturday
  1 Night - Saturday Only
  0 Nights - Daytimer Only
  0 Nights - Evening Dancer Only

If you are a Daytimer or an Evening Dancer Only, after you choose your pass in the next section, you can skip the Room Selections and continue filling out the form.

If you chose the 2 or 3 night stay, you can move right down to the Room Choices.

If you chose the 1 night stay, you can skip both the Daytimer and Room sections.

Saturday Daytimer Passes
$120 per person - this rate includes Rosie Multari's Zumba Warm-Up, all other lessons offered, full program book with all the dance scripts, lunch & dinner, the Saturday evening dance & show, plus the late night snack menu (to be determined) & Karaoke!
$75 per person - this rate does includes everything you see mentioned above, however with this rate there is NO FOOD INCLUDED.
Please choose which Price Rate: $120 $75 (No Food)

Friday & Sunday Daytimer Passes
$50 per person for each day - this rate includes all dance lessons, all open dances that day, full program book with all dance scripts (now on CD). You can also add Friday Dinner for $30.00, Sunday Breakfast for $15.00 and Sunday Lunch for $20.00 (Meal arrangements can be made at the Front Desk when you arrive). If you come on Friday, it includes the Friday Night Demos, if you come on Sunday, it includes Rosie Multari's Zumba Warm-Up.
Please choose which Day(s): $50 Friday $50 Sunday $100 Both Days

Thursday, Friday & Saturday Evening Dance Only Passes
$20.00 per person for Thursday Night or Friday Night. $30.00 per person for Saturday Night, which also includes the Saturday Night Instructor Showcase.
Please choose which Night(s): $20 Thursday $20 Friday $30 Saturday

The Room Choices and Seating preferences are limited and they are assigned based on the date you reserve and the amount of nights you plan on staying. Tim Gillis and his staff will do their best to honor your requests.

Select Room Preference:
Deluxe Single Deluxe Double Deluxe Triple Deluxe Quad	Executive Single Executive Double Executive Triple Executive Quad
Which is more important: Type of Room Near Your Group 2 Double Beds 1 King Bed
(Only Executive Rooms can make a bed choice)

If you are paying for someone else please give their full name(s). If
they want a separate reservation confirmation mailed to them you
must include their mailing address so Tim Gillis can send them one:

If you are rooming with someone please give their full name(s):

Please list Names/Group you wish to sit with:

Please list special needs or diet requirements:

Please list name(s) you want on name tag(s):

Tim Gillis Golf Tournament
* Will You Be Playing Golf: Yes No

Pre-Order Spring Weekend T-Shirts
Pre-Order Weekend T-Shirts and you can make sure that we have your size and you can save money too!! Weekend T-Shirts will be $15.00 at the event. Pre-Orders will be $12.00 per shirt (prices good for all sizes up to XL �2XL or 3XL Add $2.00)
Sm:	Med:	Lg:	XL:	2XL:	3XL:
Please choose a quantity for each T-Shirt Size you are purchasing. Remember to factor in the additional amount when figuring out your total balance.

Order Tim Gillis Weekend DVDs

All the DVD Purchases are separate from what you are paying to attend the event. If you are only paying the $70.00 deposit, you still have to include any DVD Purchases.

There are 3 Video Package Options:

• $25 Weekend Highlights w/entire Saturday Show
(1 DVD in Jewel Case)

• $40 All Instructor Lessons
(2 DVDs in Jewel Case)

• $55 Saturday Show w/Weekend Highlights & All Lessons
(3 DVDs in Custom Case)

Please select a Video Package Option:
$25.00 Saturday Show w/Weekend Highlights
$40.00 All Dance Instructor Lessons
$55.00 Saturday Show w/Weekend Highlights & All Lessons

New Jersey Residents must add 7% Sales Tax!!

Order prior DVDs for low discounted prices and package options.

Please select each Tim Gillis Event DVD you want:
Pre-Order Spring 2010	Purchase Fall 2009
Purchase Spring 2009	Purchase Summer 2009*
Purchase Fall 2008	Purchase Spring 2008
Purchase Fall 2007	Purchase Spring 2007

* The Summer 2009 is sold only as a 2-DVD set in a jewel case at $30.

Any questions for All Jersey Studios:

If you have gotten this far you are now ready to submit your registration to Tim Gillis. Just Click on the "Submit to Tim Gillis" button below. AFTER you do that you then need to proceed to Step 2 which is make your Purchase. You have to go to the Tim Gillis Spring Dance Weekends Credit Card Purchase Page. There you will be able to make your purchase for the event or just make a deposit.

A MINIMUM DEPOSIT OF $70.00 PER PERSON REQUIRED!

The e-mail created and sent to Tim Gillis when you submit this form goes to E-mails Servers required to be H.I.P.A. compliant. This refers to what is known as the Health Information Protection Act. It requires that there be a 128 bit encryption in all e-mails coming and going from the e-mail servers.

* * Important Note:
When you click on the 'Submit to Tim Gillis' button, it will then send an e-mail to Tim Gillis at this e-mail address: timgillis@timgillisdanceweekends.com. The next thing that happens is that you will be taken to an 'Online Registration Confirmation' page. If none of this occurs then the information was not sent to Tim Gillis. If that happens you can try to submit the form again or please contact Tim Gillis directly.

timgillis@timgillisdanceweekends.com ~ timgillis@aol.com
1 (732) 855-0075 • 1 (800) TGB-EVENT (842-3836)