MEHER BABA INFORMATION CENTER OF CHICAGO
Payment Center

MIDWEST GATHERING 2007
September 7-9

Insructions for this page:
To make a reservation, fill out the form below and click on SUBMIT.
Please send payment by check to: (payable to Meher Baba Information Center)
Carol Kovalevych
946 W. Hubbard St.
Chicago, IL 60622

To pay by credit card, fill out the form below and click on SUBMIT.
Follow the link to Paypal on the next page.
Confirmation of your payment and reservation will be forthcoming by e-mail within 72 hours.
If you have any questions, please e-mail MeherBaba@juno.com or call Carol at 312-633-0696.

 

       CONTACT INFORMATION

 
Name(s) - include ALL family members attending separated by commas


Full Address (include city, state and zip)

           
      Phone                          E-mail address

    Total #
of People		 Price per person TOTAL PRICE

Full Weekend
w/lodging

   Adult (over 12)
   Child (under 12)*

x
x		 $155.00
$75.00*

Friday Night ONLY
No lodging

   Adult (over 12)
    Child (under 12)*

x
x		 $30.00
$10.00*

Friday Night ONLY
w/lodging

   Adult (over 12)
    Child (under 12)*

x
 x		 $135.00
$65.00*

Saturday ONLY
Lunch & Dinner

   Adult (over 12)
    Child (under 12)*

 x
 x		 $80.00
$40.00*

Saturday - Sunday
w/lodging

   Adult (over 12)
    Child (under 12)*

 x
 x		 $135.00
$65.00*

Sunday ONLY
Breakfast & Lunch

   Adult (over 12)
    Child (under 12)*

x
 x		 $35.00
$15.00*

YES!! I would like to help sponsor someone who can't afford the requested donation.
Please add for this purpose.
Double rooms are available - please add $25/person (first come, first serve basis)
(check box if a double room is desired. If no rooms are available, a refund is permitted.
Please check with Carol at 312/633-0696 or MeherBaba@juno.com for availability)
Amount added for Double Room 
 

TOTAL AMOUNT DUE:   

Please send payment (personal checks or money orders) to:
Meher Baba Information Center
c/o Carol Kovalevych
946 W. Hubbard St.
Chicago, IL 60622-6524

If you have questions concerning this form, please e-mail MeherBaba@juno.com

* Any child under the age of 12 (the day before their 12th birthday) has the discounted fees. 

Donate to the Center!
Meher Baba Information Center of Chicago