Clergy Conference Registration Form
Sept. 6-8, 2011

 

*Name:

Church:

Phone #:                      *E-mail:

* Required Fields

 

Double Occupancy - Roommate:   - No additional fee

Single Occupancy - Limited Space, First Come, First Serve - Additional Fee: $65.00

 

Special Needs:

Downstairs Lodging Room

Dietary Restrictions - Please Explain:

                                

 

* Please note that you must register on the diocesan website for the actual conference. You are registering for lodging only with us.