- Name(s) _______________________________________________
- ______________________________________________
- Address _______________________________________________
- City, State ZIP __________________________________________
- Phone number __________________________________________
- E-mail address__________________________________________
- Club Affiliation__________________________________________
Membership Fee: ( $1.00 per person) #________ x $1.00 = $__________
Individual Tickets:
One-Day Ticket - includes daytime events only (no meals)
# _________ x $30.00 = $_____________
Which day? Friday ______ Saturday ______
Two-Day Ticket - includes daytime events only (no meals)
# __________ x $50.00 = $_____________
Friday Night Dinner and Entertainment
#__________x $25.00 = $_____________
Saturday Night Banquet
# _________ x $65.00 = $_____________
Please make one selection per person:
Meat _______ Fish _______ Vegetarian _______
Sunday Breakfast with Santa
# __________x $25.00 = $_____________
Weekend Package: A Savings of $10.00 - Includes membership fee, passes to all day-events, all 3 meals and nighttime activites. Please be sure to mark your meal selection choice above.
#__________ x $156.00 = $_____________
Please check here _______ if you would like information on the Display Contest.
Please check here _______ if you are arriving before or staying on after the gathering and would like information about attractions in the Chicagoland area.
Please check here _______ if you would like to volunteer at the gathering.
Please check here _______ if you are intersted in selling during the room hop.
All mail-in reservations must be postmarked by April 10, 2004, to guarantee receipt before the Gathering.
No refunds will be given after March 15, 2004.
Please mail your completed registration form and check to:
Chicago 2004
PO Box 44
