Registration

MARRIAGE & FAMILY CONFERENCE REGISTRATION FORM—Please print Neatly !!!

Please fill out this form completely and legibly and mail  to:

Marriage Conference

Att’n: Eric Postma

165 Lake Forest Drive.

Holland, Michigan 49424

Name:___________________________       __________________________________

                        First Name                                                      Last Name

Address:________________________________      ________________    __________

                        Mailing Address                                             City                   Zip Code

Phone:__________     ___________________

            Area Code             Telephone

E-Mail:___________________________________               Number Attending:______

                                                (Please print neatly)

Please note any special dietary needs or preferences:_____________________________

 (Please include any special medical or dietary concerns regarding lunch-eg diabetic,vegetarian etc.)

Once we receive your registration & check/money order we will send a confirmation along with directions, final agenda and some workshop content for your information.

Your e-mail will be held in confidence by conference organizers and not shared with anyone else.

REGISTRATION FEES:

General registration    $20  (If registration received on or before 10/31/2013)

Ministers or students: $15  (If registration received on or before 10/31/2013)

All registrations received after 10/31/2013 and at the door: $25

Make all checks and money orders payable to:  K of C  Council  #7115

Mail the completed registration form with your check/money order to:

Marriage Conference

Att’n: Eric Postma

165 Lake Forest Drive.

Holland, Michigan 49424

FOR MORE INFORMATION CONTACT:

Telephone: 616-399-5520 (Steve) or 616-566-7932 (Eric)

E-Mail: steveredmond12@yahoo.com