Please print this form and follow registration and mailing instructions: REGISTRATION FORM: Goddess Convention 2015 Name:_____________________________________________________________________________________ Address:__________________________________________________________________________________________________ City: __________________________State:__________________________Postal code:__________________________________ Phone: ___________________E-Mail address:_______________________________________ Prices: we encourage early registration! A) B) Convention, Saturday September 26, 2015 : $40 early-bird special registered by Sept. 15, 2015. $50 after September 15, 2015 and at the door senior & low-income discounts available student discount price with ID: $20 --Amount per person:__________ x number of people:________ = total: enclosed__________ C) Tables: Are you a member of the FOI, and do you or your Iseum produce Isian materials or services you want to make available to fellow members? A limited number of display tables are available for a $10 donation: Ask about availability. D) Your Love Offering Will Help Us Very Much, because the fees do not cover all our costs… ____I am unable to attend this year’s gathering, but I want to make a donation ____I am attending, but I want to make an additional contribution to help with expenses $ Your donation is very much appreciated! Thank you! E) Silent Auction: Please check here if you have an item to donate to our silent auction:_____________ Grand Total: $____________________________ Deadline for pre-registration by mail is September 15, 2015. Please do not mail anything after September 10, 2015! No refunds can be given after September 15, 2015. Via PayPal: Please send payment to DEMETRIA NANOS, at hail_isis@yahoo.com Please make checks or money orders payable to: DEMETRIA NANOS, and write “FOI Gathering” in memo line of check. Mail payment and forms to: Demetria Nanos FOI Chicago 6122 S. Kenwood Ave. Chicago IL 60637 USA (773) 684-9219 hail_isis@yahoo.com www.foichicago.com