US$ 85 Price per person X (Number of tickets) = Total US$  
 
  PERSONAL INFORMATION
 
  First Name(*) Last Name(*)
       
Address Nº(*) City/ Town(*)
State Country(*)
  Zip Code(*) Fax
Phone E-Mail(*)
       
       
       
  I authorize the credit card charge on the following card:
 
  Credit Card(*)    
Number(*)    
Expiration Date(*) /    
Name on card(*)    
Verification Code
       
   
  No refund price no exchange
       
HOGAR DE CRISTO U.S.A IS A FLORIDA NONPROFIT CORPORATON. IT IS A PUBLIC CHARITY EXEMPT
FROM FEDERAL INCOME TAX UNDER SECTION 501 (C) (3) OF INTERNAL REVENUE CODE