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Diocese of Albany
Clergy (spouses invited!) Conference
September 29 – October 1, 2010
Due Friday, September 24

  • To Register: Fill in the fields below and hit SUBMIT at the bottom of the form
  • To Register by mail print this form.


Registrant Information:
First Name:
Last Name:
Name for Name Tag:
Spouse Name (if attending):

Additional Information:
Do you have any physical limitations/considerations or dietary needs? Please explain here:

Parish & City :

Please check applicable boxes: (choose one)

ALL Rates are per person (except COUPLE)

Clergy (dbl occ) King's Inn/Library/CSM $155
Clergy (dbl occ) Staff Cabin $120

Clergy (single occ) King's Inn/Library/CSM $245
Couple (Clergy and spouse) King's Inn/Library/CSM $245

Commuter Wednesday only $22
Commuter Thursday only $47
Commuter Friday only
$22
Commuter Wednesday and Thursday $69
Commuter Wednesday and Friday $44
Commuter Thursday and Friday $69
Commuter Wednesday, Thursday & Friday $91

Add total of all circles checked and enter amount below. Please do not enter a dollar sign.

Child Needs:
On-site child care is available during presentations and services at $3/hour payable at daycare center.


Number of children, names and ages

Golf:
Number of people participating ($25 extra payble when you play)

Sub Total:

Scholarship Request: (If more than 50% contact Fr. Haskell)

Total:

To Register hit and fill in your credit card information with our secure payment option

Credit Cards: We accept most major credit cards.
Hit the SUBMIT button to enter your credit card information

 

Before hitting submit, please print for your records.

 

 

 

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