ARA Shavuot Conference Registration Form
Midwest Brunch is full. Register now while space is still AVAILABLE!
Please type or print clearly all applicable information requested below:

Hotel accommodations must be made with the hotel. Please refer to the web site www.MichaelRoodMinistries.com for other hotels and for camping or RV sites near the conference. Call Hotel Denver Tech. Center direct for reservations 303-779-6161
Last Name*
First Name*
Address
City
State Zip
Telephone*
Email*
You need a room mate? male or female
Spouse Name
  Name Age
Child
Child
Child
Child
Child
Child
Special Services (check if applicable) Yes, I will require special assistance
Registration fees (check the box that applies)
         
One Person $95    
Couple $170    
      # of Children  
Children 12 and over $40.00 each  
Children 11 and under $15.00 (children's program provided)  
      Registration Cost
NOTE - children 12 and over must attend conference
Conference Extras (check the box that applies)      
    Number of People  
Erev Shabbat Celebration included in conference price      
Lydia World Outreach Project Sunday breakfast with National Chairperson Judith Rood at $8 per person  
Meals Provide by Hotel
The on-site hotel will be providing buffet style meals 4 times during the conference. Friday 4-6 PMSaturday 12 - 1 PM, Saturday 4:30 - 6 PM, Sunday 12:30 - 2:00 PM. The meals are $10 for adults and $5 for kids.  If you would like to pre-pay fill out the fields below with the amounts.
Adult Meals (Number of meals) x $10 =
Kid Meals (Number of meals) x $5 =
  Total Meal Money
    Total Amount Due*
My company would like to be a corporate sponsor. (Corporate sponsors will have a banner, be listed in the program, and be advertised as sponsors on TV broadcasts of the event.)
$5,000 Corporate Underwriters (limited availability) Attendance, lodging, and food included for four Special reserved seating Special lodging with speakers and Paul Wilbur
I will need transportation from the airport to the hotel

Payment Method (select one)
Check/Money order
Visa, MasterCard, American Express, Discover
Card number Exp. Date CV Code

Signature
Your signature authorizes ARAMI to charge your credit card for the total amount due
Payment Policy
Conference registration fee must accompany this form. If paying by check or money order payable to: Michael Rood Ministries Events, PO Box 309, Byron Center, Michigan 49315, Attention Victoria All fees must be paid in full in order to confirm registration