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Please PRINT
Legibly:
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NAME |
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(Please print your name as you want it to appear on your
name tag.) |
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EMAIL |
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PHONE |
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ADDRESS |
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CITY/STATE/ZIP |
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CHURCH |
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Is
this your first time to attend our Synod Convention? ( )
Yes ( ) No |
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CHECK ALL THAT APPLIES: |
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Non-voting Participant ( ) |
Delegate ( ) |
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Board Member ( ) |
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Cluster Coordinator ( ) |
Special Guest* ( ) |
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*Invited by Synodical President, Synodical Board, Convention Chair or
Convention Planning Committee |
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Registration Fee |
$45 |
includes your lunch and
snacks |
Amount Enclosed
$__________ |
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Special Dietary Needs |
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Need Child Care
available at no charge (
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Age(s) of child(ren):
__________________________ |
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OFFERINGS: |
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PHYSICAL:
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MONETARY:
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Checks payable to:
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HOTEL INFO: If you wish to come on Friday evening, make your
reservations at the Courtyard by Mariott by
asking for the Lutheran Women's Convention block of rooms. Check the
www.txlagulfcoastwomenelca.com
or the flyer for more information.
Please make copies of this form for each woman attending the
convention. |
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