Gathering of Eagles 2009
June 25, Thursday,  26 Friday, . 27 Saturday, 2009
Chicago, IL (Tinley Park)
To register by phone: (859) 271-5987   Fax: (859) 223-9175
Warning register early! We can hold your registration with a 50% deposit.
Registration Form

Date ___________ Style ____________________Rank _____________

    Name____________________________________________ Age________ 

    Address / Street _______________________________________________

    City ___________________________ State ________ Zip ____________

    Phone #___________________ e-mail _____________________________

    2nd Family Member/ Name ______________________________________

    Paying by:       Check / Mo ____________________Enclosed

    Credit Card # ____________________________Exp Date_____________

    Total to be charged to your Credit Card: $___________________

    Name on Card _____________________________________________

     Signature ____________________________________________________________

     Cost:
            
            Feb. 1, 2009 thru June 15, 2009: 
                        $150 -  all three days
                        2 days $110
                        1 day $60
                $125 2nd Family Member
           Mail to:
Kenpo Hall of Fame/GOE
GOE Registration
P .O. Box 558255
Chicago, IL 60655-8255