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Women of the ELCA Upstate New York Convention 2009

"Come to the Water"

Registration Form

_____Delegate _____ Alternate _____ Participant _____ Guest

_____Board member _____ Conference Coordinator _____ Scholarship Recipient

Name________________________________________________________________________

Street________________________________________________________________________

City ______________________________________ State ___________ Zip Code ____________

Phone ____________________________ Email Address: _______________________________

Conference__________________________ Congregation _________________________________

May we share your contact information with other women of the ELCA? Yes No

Special needs/requests ______________________________________________________________

I will be sharing a room with ___________________________________________________________

Registration $75 by August 1, 2009 $80 after August 1, 2009 Saturday Only (Dinner included) $50

Room All rooms are $___ per night - two beds (may share with up to 4 occupants)

Nights that you will be staying - Friday _____ Saturday _____

First timer ----------Age range: under 31 32-45 46-56 57-65 over 65

May we confirm your registration by email? Yes No

Banquet Food Choices: (Please check one) Choice ______ Choice _____

Choice ______ Choice ______

Additional Meal Costs: (Please check if you wish to make a reservation(s) for these meals)
_____Friday Night Buffet @ $??.00 _____Saturday Breakfast Buffet @ $??.00

_____Sunday Breakfast Buffet @ $??.00

Registration $______ + Room Rate $______ + Food Costs $______ = ______ Total included with this form.

Please send this Registration Form and a check made out to Women of the ELCA to:
Registrator: ___________________________________________________

 

 

Workshop Preferences

Please mark 1, 2 and 3 in order of preference. We will make every effort to accommodate you!

_____ Tile ______ Title ____ Title

_____ Title

Workshops

Watch for information

 

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If you are coming as a DELEGATE or ALTERNATE, please have an officer of your Congregational Unit sign the following form and include it with your registration:

I acknowledge that the women of the __________________________________________ have elected
(Name of Congregation)
___________________________________ for position of delegate/alternate to the Upstate New York
_______(Delegate's name)

Women of the ELCA Convention of 2009.

 

Signed ___________________________________________ Date ____________________

Position _____________________________________________
 

 

 

 

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Last updated: October 18, 2008 http://www.luther95.com/UNYSWE-ANY/convention.html