2009 Winter retreat - "December 22, 23 and 24th, 2009" Registration is not completed until you hand out a copy of confirmation e-mail and your check to: Mrs. Ebtesam Tawfik at Indianapolis or Mrs. Hanan Dous at Chicago or send in the mail (see contact us). Online Registration Please fill in a valid value for all required fields Are you sure you want to leave this form and resume later? You must upload one of the following file types for the selected field: There was an error displaying the form. Please copy and paste the embed code again. Please fill out this form and hand out you registration Fee to Mrs. Ebtesam Tawfik at St. Mark Church, Indianapolis or Mrs. Hanan Dous at St. George Church, Chicago. Registration fees:  $55.00 per person includes roam and board if registered by November 29, 2009. Late Registration Fee between November 23 and December 1st is $65.00 per person. After December 6th. please call Nader Eskander at 708-280-8360 to check availability.       Online Registration To Register online, please fill out this form and hand out you registration Fee to Mrs. Ebtesam Tawfik at St. Mark Church, Indianapolis or Mrs. Hanan Dous at St. George Church, Chicago. Registration fees:  $55.00 per person includes roam and board if registered by November 15, 2008. Late Registration Fee between November 15 and December 1st is $65.00 per person. After December 1st. please call Nader Eskander at 708-280-8360 to check availability. Please fill in a separate form for each attendee.     First Name*     Last Name*     Address 1*     Address 2     City*     State*   Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tenessee Texas Utah Vermont Virgina Washington Wisconsin West Virginia Wyoming     Zip*     Home Phone     Cell Phone*     Email*     T-Shirt Size (Not required this year, you will receive a different gift) Small Medium Large X-Large Other: Other Value Please mark only one box     Church Affiliation* St. Mark, Indianapolis St. George Chicago St. Mark, Chicago St. Mary, Chicago St. Antonious, Milwaukee Other: Other Value Please mark only one box     Comments