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Chicago 2004
Registration Form

HOME

Guest Speakers
Schedule of Events
Program Sessions (Seminars)
Planned Activities
Auction and Raffles
Dickens' Anniversary Celebration
Display Contest
Marketplace
Registration Form
Merchandise and Tours
Charities
Host Hotel
Area Attractions
Contact Us
Links

Please feel free to print this page, fill out the form and mail it to us along with your registration fee.  To print the registration form highlight the text and click on Print.

  • 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 PackageA 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
River Grove, IL 60171

 

Looking forward to seeing you in Chicago in 2004!

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