CHICAGO RESTORAHATION 2009 REGISTRATION FORM

AUGUST 14^th, 15^th and 16^th , 2009

Chicago Marriott Northwest, Hoffman Estates IL

Name:_______________________________________________________________________

Address:_____________________________________________________________________

City, State Zip_________________________________________________________________

Phone:____________________________________Cell:_______________________________

Email:_____________________________________________

Mark applicable box:

$60 Single (1) _______ $110 Couple (2) ________ $120.Family__________ $50 Group/10 or more__________

Total Number of People attending per Family or Group ___________

If you do not want to use PayPal via website link you can mail your reservation and payment as well.

Please make checks payable to Deborah’s Messianic Ministries and return this sheet with payment.

Mail Payment along with form to:

Deborah’s Messianic Ministries

P.O. Box 7514

Westchester, IL 60154

Please make checks payable to Deborah’s Messianic Ministries and return this sheet with payment.

Please be sure to make your hotel reservations right away. The registration fee allows you access to all the meetings, but you must make your hotel reservations as well. We are planning on special classes for teens-possibly children depending on available teachers.

Please see web site for information regarding the Chicago Marriott Northwest. Please mention Chicago ResTORAHation 2009 in order to get the special rate. We only have a minimum amount of rooms at this price so first come first service. If the hotel gets booked there are other hotels in the area as well.

Registration Deadline is July 23^rd 2009 if there are still open seats. Seating is limited to 500 people.

Please feel free to call Debra Brandt with any questions you may have at Cell #(708) 990-4775 or office (708) 409-1130.

Email: DeborahsDrash@yahoo.com