Only One Form per Person. Please check the appropriate box. Then complete all of the fields below with your information. Thank you.
Your Age:
CHILD/YOUTH 5-18yrs
ADULT/19yrs+
Birthdate: MONTH & DAY
First Name:
Last Name:
Contact Phone:
City/State/Zip
Mailing Address:
E-mail Address:
Today's Date: MM/DD/YYYY
I WOULD LIKE TO ORDER A HUGG T-SHIRT
REGISTRATION AND PAYMENT: Please complete Sections (A) and (B) below.
(A) REGISTRATION: Please Select
EARLY BIRD: Ends 7/31/17)
$25/CHILD ages 5-10yrs
$35/YOUTH ages 11-18yrs
$65/ADULT ages 19yrs+
REGISTRATION (8/1/17 to 10/31/17)
$40/CHILD ages 5-10yrs
$85/ADULT ages 19yrs+
$65/YOUTH ages 11-18yrs
LATE REGISTRATION  11/1/17 to 1/3/18
$100/ADULT ages 19yrs+
$55/CHILD ages 5-10yrs
$85/YOUTH ages 11-18yrs
(B) PAYMENT OPTIONS: Please read carefully and select below.
[Note: ALL REGISTRATION PAYMENTS ARE NON-REFUNDABLE and NON TRANSFERABLE. No Exceptions.]
MAIL:  Send your Payment to: H.I.M., c/o 2018 HUGG, PO BOX 653, Lansing IL 60438. Must be postmarked/received within 7 business
days of Submitting this Online form.
If monies are not received within this time frame, your Registration  will be deemed incomplete and
you will have to submit another registration form and be required to pay the current Registration amount due at submission. No
exceptions. Acceptable forms of Payment:
Cash, Money Orders, Checks. Please Make Payable to: H.I.M. There is a $45 charge for all
returned checks
. Please do not mail Cash but call Min. Chris DuBoise @ 773.690.1092 to make arrangements for Cash payments.
HOTEL & LODGING
After you pay your Registration, please call the Hotel and book your room.
Last Day to Book at Conference Rate is January 5, 2018. After this date, rooms and rate are not guaranteed.
COUNTRY INNS & SUITES, 1837 Centre Point Circle, Naperville IL 60563
ROOM RATE: $84/night + tax (Must be fully registered in order to get Room Rate)
Room Types: King Suite, Standard King, Standard King/Queen Combo or Double Queen
All reservations must be guaranteed by one night’s deposit or a Major Credit Card
To Book: Call the Hotel @ 630-505-3353  or toll free 1-800-596-2375 [Mention Code: HUGG Group]
Conference Room Rate available 2 days before & 2 days after Conference dates.
ONLINE REGISTRATION FORM
2018 H.U.G.G. WORD ADVANCE GETAWAY FOR MEN & WOMEN
"ADVANCE"
January 19-21, 2018
Country Inns & Suites, Naperville IL
Dear Friend, please use this form to REGISTER for our 2018 HUGG Word Advance Getaway for Men & Women, being held at the Country Inns &
Suites, Naperville IL., January 19-21, 2018.
 ALL REGISTRATION PAYMENTS ARE NON-REFUNDABLE and NON- TRANSFERABLE. No Exceptions.
Please use only
one form per person. Once you complete this form, we recommend that you download a copy to keep for your files.
Contact Us:

Mailing Address:
H.I.M.
c/o 2018 HUGG
PO Box 653
Lansing IL 60438-0653


Email:
HUGG@kingdombread.com