REGISTRATION FORM
HAMPTON INN (at Union Station)
2211 Market Street / St. Louis, MO 63103 / 314-241-3210

3 Nights - June 29, 30 / July 1, 2008 - $556.00
2 Nights - June 30 / July 1, 2008 - $384.00
1 Night - July 1, 2008 - $212.00
(Double Occupancy)
(All prices include: Room/Tax; Binder, Registration fees, & Hospitality)
Arrival Date: ___________________ Departure Date: __________________ Number of Nights: __________
Bed Type: King______ or 2 Double______ Smoking: ______ Non-Smoking: ______ Handicapped: ______
Name: _______________________________________ Lady or Roomate: _____________________________
Address: ___________________________________________________________________________________
City: __________________________________ State: _____________________ Zip Code: _______________
Phone Number: ___________________________ Unit, Club, or Organization: _______________________
PAYMENT:  __________________ FULL PAYMENT
                  __________________ Registration Fee Only - $40.00/per person (non-refundable)
                  __________________ $212.00 Due on or before May 21, 2008
                  __________________ Balance Due on or before June 20, 2008

No refunds due to cancellation will be made until after the trip;
then room rates only will be refunded, if there is no cost to Hadi.

METHOD OF PAYMENT: ______ CASH / ______ CHECK (#_________) / ______ CREDIT CARD
BILL FULL PAYMENT TO: ______ MASTERCARD / ______ VISA / ______ AMERICAN EXPRESS
CARD NO. ______________________________________________ EXPIRES _________________

_________________________________________________
Signature of Noble

___________________________
Date

*Rooms are limited - Get your reservation in today! There is no guarantee that we can reserve more rooms!

*Hospitality suites may be available, contact the Office for prices and availability. All rooms available to Hadi will be prioritized for sleeping rooms first, then hospitality rooms if available. Contact: Hadi Temple at (812) 423-4285 or by email cindy@hadishrine.org

*All Nobles and/or Ladies attending and participating in the Imperial Council Session must register with Hadi Temple.