To Pay by Money Order or Check:

Please make money orders and checks payable to: Children’s Craniofacial Association.

In the memo part write Cher Convention.

Please mail to: Cher Convention 2006, 5410 S. Custer Rd., Monroe, MI  48161

Amount of payment:

Registration Form:
Please fill in the following information, as it should appear on your receipt, for each person that is registering.

First and Last Name

Mailing address, city, state, zip:

E-mail address  Phone 

If staying at the Riviera Hotel please enter your Hotel Registration Number

Please click on the arrow to select the event you are registering for



First and Last Name

Mailing address, city, state, zip:

E-mail address  Phone 

If staying at the Riviera Hotel please enter your Hotel Registration Number

Please click on the arrow to select the event you are registering for



First and Last Name

Mailing address, city, state, zip:

E-mail address  Phone 

If staying at the Riviera Hotel please enter your Hotel Registration Number

Please click on the arrow to select the event you are registering for



First and Last Name

Mailing address, city, state, zip:

E-mail address  Phone 

If staying at the Riviera Hotel please enter your Hotel Registration Number

Please click on the arrow to select the event you are registering for

This is NOT a secure server, if you are uncomfortable sending this information over the internet, please print this page and mail or fax to below listed information.

Please review the information you've entered for accuracy, then click to send

Payment questions:
Email: MaryLadd@cherconvention.com

Mail: Cher Convention 2006, 5410 S. Custer Rd., Monroe, MI  48161
Fax: 510-217-2312
Voice Mail: 734-735-8162

Click to clear form.


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