To Pay by Visa or Master Card only:

Please fill in the blanks and click Submit,
(this is not a secure server)
or print this page, fill in the blanks, and
Fax to: 484.993.3645 or

Mail to:  Cher Convention 2006, 3552 Kelton Avenue, Los Angeles, CA 90034

(You are welcome to email this form, however email is not secure.)

 




Please click on the arrow to select the card type: 

Credit card number   Expiration date (MM/YY)

Name as it appears on your credit card

Billing address, city, state, zip:

Amount of 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 address, city, state, zip:

E-mail address  Phone 

If staying at the Marriott Warner Center please enter your Hotel Registration Number

Please click the square to put a check mark next to the event/s you are registering for:

Friday Evening Event $95

Saturday Evening Event $95



First and Last Name

Mailing address, city, state, zip:

E-mail address  Phone 

If staying at the Marriott Warner Center please enter your Hotel Registration Number

Please click the square to put a check mark next to the event/s you are registering for:

Friday Evening Event $95

Saturday Evening Event $95



First and Last Name

Mailing address, city, state, zip:

E-mail address  Phone 

If staying at the Marriott Warner Center please enter your Hotel Registration Number

Please click the square to put a check mark next to the event/s you are registering for:

Friday Evening Event $95

Saturday Evening Event $95



First and Last Name

Mailing address, city, state, zip:

E-mail address  Phone 

If staying at the Marriott Warner Center please enter your Hotel Registration Number

Please click the square to put a check mark next to the event/s you are registering for:

Friday Evening Event $95

Saturday Evening Event $95


Please review the information you've entered for accuracy and click (Not a secure server.)

Click to clear form.

If you have any questions please email:  MaryLadd@CherConvention.com.


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