REGISTRATION FORM

START UP! START OVER!
Congregational Development Seminar
Radisson Hotel New Orleans
New Orleans, Louisiana
October 13-17, 2003

Print and mail this form with payment and demographics

Please write clearly

__________________________________________________________________________
Name(with title)

__________________________________________________________________________
Name as you wish it to appear on nametag

__________________________________________________________________________
Mailing Address

__________________________________________________________________________
Congregation Name & Town

Congregation Size (Average Sunday Attendance): ____________

Diocese: ____________________________________________

__________________________________________________________________________
Position/Role in Congregation:

Phone: (Home) __________________________________________

       (Office) __________________________________________

__________________________________________________________________________
E-mail

__________________________________________________________________________
Web Site

All-inclusive fee (conference tuition, lodging, and 9 meals):

Single room $775:
________________
Double room (per person) $600: ________________
Commuter (no lodging, 6 meals) $350:
________________
Guest meals $200 or $35 (non-refundable): ________________
Late fee (after September 8) $100:
________________
 

 

TOTAL:

________________

Additional Pre and Post Seminar nights at hotel:

$103 per night/per room x _________ nights = $ _____________

Indicate the nights for which a reservation is needed:

Thursday Oct. 9 ______   Friday Oct. 17 ______
Friday Oct. 10 ______   Saturday Oct. 18 ______
Saturday Oct. 11 ______   Sunday Oct. 19 ______


Name of Guest :____________________________________
(rooming with seminar registrant, not attending the seminar)

Please indicate any special needs:
_______________________________________________________________________________

________________________________________________________________________________________

The registration deadline is September 8, 2003. Call to verify availability (800-334-7626, ext. 6003). Enrollment is contingent on availability and receipt of payment. Note cancellation policy.

Make check payable to the ECBF, mail with registration form and demographics to:

Episcopal Church Building Fund
Start Up! Start Over! Registration
815 Second Avenue
New York, NY 10017
1-800-334-7626 ext. 6003

Close Window!