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INTERNATIONAL CATHOLIC DEAF |
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ASSOCIATION - US SECTION |
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5th Biennial Conference |
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Renaissance Hotel |
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Downtown Cleveland, Ohio |
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July 17 - 21, 2009 |
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Conference Registration |
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ONE REGISTRATION FORM PER PERSON |
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Make copies for more than one person |
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NAME |
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MEMBER [ ] ICDA CHAPTER NUMBER [ ] NON-MEMBER [ ] PASTORAL WORKER [ ] |
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DEAF [ ] HEARING [ ] OTHER SPECIAL NEEDS, PLEASE SPECIFY ______________________________________ |
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ADDRESS |
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CITY _________________________________ STATE _______________ ZIP CODE ________________________________ |
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TTY [ ] VOICE [ ] VP [ ] PHONE #________________________________ FAX # ____________________________ |
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EMAIL ADDRESS ______________________________________________________________________________________ |
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If you are delegate or moderator for your ICDA-US Chapter, please check. Delegate [ ] Moderator [ ] |
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Combo Rate
(includes
registration fee)
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Member
Price
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Non-Member
Price
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Check
One |
Price
($) |
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Jan 1, 2008 – Dec 31, 2008 Combo Rate |
$215.00 |
$235.00 |
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Jan 1, 2009 to July 2009 Combo Rate |
$245.00 |
$270.00 |
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OR
Non-Combo
Rate
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Member
Price
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Non-Member
Price
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Select
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Price
($) |
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Registration (required) |
$60.00 |
$65.00 |
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Friday Welcome Reception |
$25.00 |
$30.00 |
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Saturday Bishop Mass & Dinner |
$25.00 |
$30.00 |
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Sunday Hard Rock Café Dinner |
$25.00 |
$30.00 |
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Monday Lunch |
$25.00 |
$30.00 |
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Tuesday Banquet |
$70.00 |
$75.00 |
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Optional for
Combo Users and
Non-Combo Users
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Member
Price
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Non-Member
Price
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Select
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Price
($) |
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Lolly Trolley Lunch tour – Sunday, July 19 |
$25.00 |
$30.00 |
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Dinner Cruise – Monday, July 20 |
$65.00 |
$75.00 |
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Senior Citizens Age 65 and over |
Subtract $15.00 |
- $15.00 |
TOTAL AMOUNT - $ ______________
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Please make check payable to Conference Fund. Deadline: June 15, 2009 Check # __________ or Money Order Non-refundable * *If unforeseeable
events cause cancellation, please notify us by email in advance. Thx |
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Please
mail the registration form and your payment to: ICDA-US
Conference 2009 C/O Registration / Mary Juhnke PO Box 811272 Cleveland,
Ohio 44181 |
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For more information about registration, email to CLEVCATHDEAF@AOL.COM or view website www.ICDA-US.org. |