The 18th  C. S. I. North American Family Conference
Hosted by C. S. I. Congregation of Dallas
July 01 to 04, 2004
Theme: 

"Come Holy spirit; kindle in us the fire of your Love."

 

 REGISTRATION FORM

Please Stop at the Business Center for Conference registration. We accept cash or credit cards only for the last minute walk-in registration.   Please note that there will be a late fee of $50 after June 30th.
Last Name First Name Age Sex Relationship Group Assigned
Address:
City:
State:
Zip Code:  
Email:
Phone:
Church Affiliation:

CONFERENCE FEE SCHEDULE

Category Fees # of Attendees Amount
Infants (3 and under) for the entire conference $60.00 X  
Children ages 4 - 12 ( With adults in a room) $150.00 X  
5 people in a room (Ages 13 and above) $175.00 X
4 people in a room (Ages 13 and above) $195.00X  
3 people in a room (Ages 13 and above) $225.00 X  
2 people in a room (Ages 13 and above) $250.00 X  
1 Person in a room (Ages 13 and above) $275.00 X  

If you have family with two adults and two children below 13 , calculate as follows

2 adults $195. each and two children  $150.00 each to total  $690.00

EXTENDED STAY $60.00 per day plus 12% tax

Rate # of Days Amount
Grand Total:

Make check payable to "CSI Congregation of Dallas" and mail this registration form with your
Full payment ( in US funds ) before May 15th, 2004. We may not be able to guarantee sleeping rooms after May 15th, 2004. Please complete the form and fax it to the following number.

Make Check Payable to:

C. S. I. Congregation of Dallas
9400 Plano Road
Dallas, TX 75238

Convenor: Phone: 972-463-8778               Registrar: 972-203-9067

Print this form and FAX it to:  972-412-3454

Contact Convenor for Senior Citizen discount (60 and above)