Please PRINT legibly:
NAME_____________________________________________________________________________
(Please print your name as you want it to appear on your name tag)
ADDRESS_____________________________________________________________
CITY/ STATE/ZIP ______________________________________________________
TELEPHONE________________
E-Mail_________________________________________
CLUSTER/CONFERENCE______________________ SYNOD:
SW TX___ TX-LA Gulf Coast ___
CHURCH____________________________________
ADDRESS______________________________________________________________
CITY/ STATE/ZIP _______________________________________________________
Registration Fee: WAIVED ____ Deadline July 31, 2009 For Camp Allen Room Count
$215.00 includes two
(2) nights lodging double or triple occupancy in
hotel rooms, five (5) meals including Saturday banquet, snacks, Ice Cream
Social Reception and all printed materials.
Friday lunch paid for Delegates ONLY.
Friday lunch $25.00/ person Camp Allen is NOT included in
Registration.
UNIT Delegates arrive for 11:30 am lunch & 12:30 pm Orientation on Friday –
Business Starts Friday 1 pm- 5 pm
GATHERING STARTS Friday Evening with 6 pm Meal
followed by Worship & Ice Cream Social
Check
ALL that applies:
Is this your first time to attend our Synod Convention? (
) Yes
( ) No
Which Synod? TX-LA Gulf Coast ( )
SW TX ( )
Unit Delegate ( )
Note: If coming as Delegate Only for
Business Session ( )
Non-voting participate ( )
Board Member( )
Workshop Presenter ( )
Workshop Title
_______________________________________________
Special Guest* ( ) *Invited
by a Synodical President, Board, Convention Chair or Convention Planning
Committee
Checks
payable: From TX-LA Gulf Coast to: Texas-Louisiana Women of the ELCA
From SW
TX
to:
Southwestern Texas Women of the ELCA
NOTE:(There will be a
$25.00 service charge on all returned checks)
Return this form to Joint Convention Registrar:
Mikki
Coles
100 Sunderland Cove
San Marcos, TX 78666 or email
gmcoles@centurytel.net
(You will receive a confirmation of registration
by e-mail or letter)
Please make a copy of this form for each woman attending convention