To Pay by Money Order or Check:
Please print this page, fill in the blanks, include Money Order or Check
payable to: CCA/Convention, and
Mail to: Cher Convention 2008 13140 Coit Road, Suite 517 Dallas, TX 75240
Amount of full payment: __________________
Registration
Form:
Please fill in the following information, as it should appear on your receipt,
for each person that is registering.
First and
Last Name: _________________________________
Mailing street address: _________________________________
city: _________________________________
state: _________________________________
zip code:
_________________________________
E-mail address: _________________________________
Phone:
_________________________________
If staying at Caesars Palace please enter your Hotel Registration
Number: _________________
Please circle which event/s you are registering for:
First and
Last Name: _________________________________
Mailing street address: _________________________________
city: _________________________________
state: _________________________________
zip code:
_________________________________
E-mail address: _________________________________
Phone:
_________________________________
If staying at Caesars Palace please enter your Hotel Registration
Number: _________________
Please circle which event/s you are registering for:
First and
Last Name: _________________________________
Mailing street address: _________________________________
city: _________________________________
state: _________________________________
zip code:
_________________________________
E-mail address: _________________________________
Phone:
_________________________________
If staying at Caesars Palace please enter your Hotel Registration
Number: _________________
Please circle which event/s you are registering for:
First and
Last Name: _________________________________
Mailing street address: _________________________________
city: _________________________________
state: _________________________________
zip code:
_________________________________
E-mail address: _________________________________
Phone:
_________________________________
If staying at Caesars Palace please enter your Hotel Registration
Number: _________________
Please circle which event/s you are registering for:
Please review the information you've entered for accuracy.