EVENT REGISTRATION

To register for an event please call (216) 426-3111 or complete and return
this form to the Cleveland Restoration Society (Enclose a check if appropriate).

The Cleveland Restoration Society
3751 Prospect Avenue
Cleveland, OH 44115-2705
(216) 426-3110
(216) 426-1975 Fax
felicia.hall@clevelandrestoration.org

Event Attending _____________________________________________

____ Members of the Cleveland Restoration Society will attend. Please list the names below.
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Reservations will be held under the name of each member.

___ Non-members will attend. Please list the names below.
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

Payment Information

Payment Amount _____________

Method of payment: ___ Check ___ Visa ___MC ___Amex

Credit Card # ______________________________________ Exp. ___________________
Name of Card Holder ________________________________________________________
Company _________________________________________________________________
Address _______________________________________Suite No. ___________________
City ________________________________ State ______________ Zip _______________
Phone _______________________________ E-mail _______________________________

Make check payable to: The Cleveland Restoration Society

For more information call (216) 426-3110.
www.clevelandrestoration.org