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Annual Convention
March 27 - 29, 2015
Camp Caroline
Caroline, Alberta
REGISTRATION FORM
Please fax, mail or email this registration form to Carol at the NWMC Office
NO Later than March 12, 2015
Please fill out one registration form for EACH delegate, pastor or guest. If attending as a family just ONE
registration is needed but please list each child/teen with age that will be attending the Annual
Convention. This will ensure that we are prepared for all who attend!
Pastor:
____
Delegate: ____
Guest: ________
Church:
________________________________________________________________
Name:
________________________________________________________________
Mailing Address:
________________________________________________________________
Telephone:
______________________ Email: _________________________________
Children:
1. ________________________ age _______ 2. ________________________ age _______
3. _________________________ age _______ 4. ________________________ age _______
5. _________________________ age _______ 6. ________________________ age _______
Food Allergies:
_____________________________________________________________________________
_____________________________________________________________________________
Cost:
$165.00 per Adult
$50.00 per Child (6 - 12 years old)
Please register all Teens through your Church Youth leader!
Northwest Mennonite Conference
Box 1316 Didsbury, Alberta T0M 0W0
Telephone: (403) 337-3283 Fax: (403) 337-3258
Email: [email protected]
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