Return to Gold Mountain 2018 Registration Form Name *FirstLastAddress *Phone *Email *Gender *MaleFemaleHandicapSpecial NeedsAdditional $50/single occupationSpecial needs / commentsParticipating in the UC Davis Teacher's Workshop (no additional charge)Methord of PaymentCheck, Check payable to UCRFA, mail to: 4000 Truxel Road, Suite 3, Sacramento, CA 95834.On-line, select payment option below and click "Buy Now" buttonEmail *MessageSubmit ___________________________________________________________________ Online Payment Return to Gold Mountain Registration Payment Options Bus/Train/Hotelroom(Double Occupancy) $250.00 USDBus/Train/Hotelroom(Single Occupancy) $300.00 USD
