Family Restored! Conference
Oklahoma City, OK
October 22-23, 1999
Required Conference Meeting Registration Form #1
Please mail this form with your check or credit card information,
(Make all checks payable to HaY'Did Learning Center)


We need it in writing, please!
Registration Information:
(This is the small print so please read it!)
Registration is $25 per individual. The sabbath meal is $6 extra above the registration fee.
Children fifth grade and under will be charged $3 for the sabbath meal.
Otherwise children are free. We do ask that the children be attentive to the speakers.
At door registration will be available on a space available rate only!
*Registration Fees are Non-Refundable after October 20, 1999.
No meal money will be refunded after October 20, 1999..
*Everyone must be registered to attend the conference.
*Credit card registrations are accepted.
* *Seating is limited to 130! We encourage you to pre-register for the entire conference to be assured a seat.

Each person attending needs to submit in writing their own information, please.

Meal Ticket Form:
[ ] $5 per adult's sabbath meal.
[ ] $3 for child's sabbath meal (Fifth grade and under only!).
[ ] I will not be eating at the conference but will purchase my meals elsewhere.

Registration Form:
Registration is $25 per individual.

First Name followed by Last Name: [Please print]
Address:
City:
State:
Zip:
E-Mail Address:
Home Phone:
Work Phone:
[ ]Non-smoker [ ] Smoker [ ] Special Needs (please explain):
(Every person should submit this personal information that is attending. Thank you!)

****Payment Method****
Please make a copy of this form for each person attending or attach a letter explaining what you are paying for.

1. IF PAYING BY CHECK - MAKE CHECK PAYABLE TO HaY'Did Learning Center.
Enclosed is a check in the amount of $_____ for _____adult registrations and ___adult meals/____child's meal.
(If registering for more than one, attach list of complete names and addresses.)

2. IF PAYING BY CREDIT CARD: $____for ______registrations and ___meals.
(If registering for more than one, attach list of complete names and addresses.)
Credit Card #____________________________________________
[ ] MCard [ ] Visa [ ] AmExpress [ ] Novus [ ] Discover Expiration Date _______________

*Make checks payable to HaY'Did Learning Center

Mail this form to:
HaY'Did Learning Center
PO Box 804
Independence, KS 67301

For more information, or additional brochures:
You may call
1-316-331-7712
Email: shalom@haydid.org