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Texas-Louisiana
Gulf Coast Women of the ELCA |
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| Page 7 |
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"25 REASON TO GIVE THANKS"
TEXAS – LOUISIANA GULF COAST
WOMEN OF THE ELCA
www.txlagulfcoastwomenelca.com
SEPTEMBER 21 - 23, 2012
SOUTH SHORE HABOUR AND RESORT
LEAGUE CITY, TEXAS |
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| NOTE: There will be NO REFUNDS after SEPTEMBER 1, 2012. Any refunds of room rate and meals will be reviewed on a case by case basis by the SWO board and MUST BE IN WRITING, postmarked no later than August 25, 2012. |
**** Your room rates and meals are paid though the registrar, South Shore Habour will not accept room reservations. ****
Make checks payable to: Women of the ELCA. |
| Please Print Legibly |
| Name: |
______________________________________________ |
Phone: |
____________________ |
| Print your name as you want it to appear on your name badge. |
Second Number: |
_______________________ |
| Address: |
______________________________________________ |
E-mail Address: |
____________________ |
| City/ State/ Zip: |
___________________________________________________________________________________ |
| Church and City: |
______________________________________________ |
Cluster: |
____________________ |
| Please check if you have any physical limitations, please advise Registrar? |
Yes ( ) No ( ) |
CHECK ONE: ( ) DELEGATE ( ) BOARD MEMBER ( ) NON-VOTING PARTICIPANT ( )SPECIAL GUEST*
* Invited by the Synodical President, Synodical Board, Convention Chairs or Convention Planning Committee. |
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Before August 25, 2012 |
After August 25, 2012
Late Registration |
| Amount Enclosed |
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| REGISTRATION FEE: |
$60.00 |
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$85.00 |
$____________ |
| HOTEL ROOM FEE: (covers 2 nights plus 4 meals) |
| Number in Room: |
Deposit/ Per Person |
| Single Room $285.00 |
or pay deposit of |
$145.00 and balance by August 25 |
$____________ |
| Double (2) in Room $185.00/each |
or pay deposit of |
$105.00 and balance by August 25 |
$____________ |
| Triple (3) in Room $145.00/each |
or pay deposit of |
$95.00 and balance by August 25 |
$____________ |
| Quad (4) in Room $125.00/each |
or pay deposit of |
$75.00 and balance by August 25 |
$______________ |
| *** REGISTRATION AND ROOM PAYMENT *** |
AMOUNT ENCLOSED: |
$______________ |
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| SATURDAY ONLY REGISTRATION: |
| (This includes Registration Fee, Usage Fee and Lunch Only) |
$125.00 |
$____________ |
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| PLEASE LIST YOUR ROOMMATE PREFERENCES. EACH PERSON NEEDS TO SUBMIT A COMPLETE REGISTRATION FORM. |
| __________________________________ |
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__________________________________ |
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__________________________________ |
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| MAIL REGISTRATION FORM & CHECK TO: |
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Joyce Palmer
2402 20th Avenue North
Texas City, TX 77593
(409) 945-7634 - jpalmer@com.edu |
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| Convention Co-Chairs: |
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• Janie Mehrens
P.O. Box 2122, Grenham, TX 77834 - rmehrens@sbcglobal.net
• Sylvia Jewel
P.O. Box 1225, Santa Fe, TX 77510 - sjewel@chemic.com |
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| Page 123456[7] |
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2005 © All rights reserved by Texas-Louisiana Gulf Coast Women of the ELCA |
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