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Conference
21st CSI FAMILY & YOUTH CONFERENCE OF NORTH AMERICA
July 5 - 8, 2007 at Holiday Inn, Crystal Lake (Suburb of Chicago), Illinois
REGISTRATION FORM
Attendee
Last Name
First Name
Children's Age
Gender
Relationship
1.
Male
Female
2.
Male
Female
3.
Male
Female
4.
Male
Female
5.
Male
Female
Street & Number:
City:
State:
Zip:
Church Affiliation:
Phone:
Email:
21st CSI FAMILY & YOUTH CONFERENCE OF NORTH AMERICA
July 5 - 8, 2007 at Holiday Inn, Crystal Lake (Suburb of Chicago), Illinois
REGISTRATION FORM
Room 1
Four Person room ($199.00 x 4 = $796.00)
Three person room ($224.00 x 3 = $672.00)
Two person room ($249.00 x 2 = $498.00)
Single room ($399.00 x 1 = $399.00)
Additional (Food only) ($150.00)
Children 5-12 ($70.00)
Children under 5 (Free)
Room 2
No Room
Four Person room ($199.00 x 4 = $796.00)
Three person room ($224.00 x 3 = $672.00)
Two person room ($249.00 x 2 = $498.00)
Single room ($399.00 x 1 = $399.00)
Additional (Food only) ($150.00)
Children 5-12 ($70.00)
Children under 5 (Free)
Room 3
No Room
Four Person room ($199.00 x 4 = $796.00)
Three person room ($224.00 x 3 = $672.00)
Two person room ($249.00 x 2 = $498.00)
Single room ($399.00 x 1 = $399.00)
Additional (Food only) ($150.00)
Children 5-12 ($70.00)
Children under 5 (Free)
Please make and mail the check payable to:
21st CSI Family and Youth Conference.
PO Box 324,
Palos Park, IL 60464
Arrival Info:
Airline:
Arrival Flight #
Airport:
Ohare
Midway
Date:
Time:
Require pickup from Airport to hotel.
Departure Info:
Airline:
Arrival Flight #
Airport:
Ohare
Midway
Date:
Time:
Require ride to the Airport.
Special Requirements:
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