Assembly Registration Assembly Registration

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Assembly Registration

Northwest Synod of Wisconsin

Trinity Lutheran Church, Eau Claire • April 29

Assembly Registration

Northwest Synod of Wisconsin

Trinity Lutheran Church, Eau Claire • April 29

Name: _______________________________________________________

Name: _______________________________________________________

Email: _______________________________________________________

Email: _______________________________________________________

Congregation/Agency Name: _____________________________________

Congregation/Agency Name: _____________________________________

City: _________________________________________________________

City: _________________________________________________________

VOTING MEMBERS: $55 (includes assembly and meals)

VOTING MEMBERS: $55 (includes assembly and meals)

Lay Voting Members: ______Lay Male ____Young Adult (age 18-30 FREE) ______Lay Female ____Person of Color (or English as a second language)

Lay Voting Members: ______Lay Male ____Young Adult (age 18-30 FREE) ______Lay Female ____Person of Color (or English as a second language)

Ministers of Word & Sacrament or Ministers of Word & Service Under Call or Appointment:

Ministers of Word & Sacrament or Ministers of Word & Service Under Call or Appointment:

______Clergy ______Retired Clergy ______Deacon (includes AiMs, Diaconal Ministers, Deaconesses) Ministers of Word and Sacrament NOT Under Call or Appointment ______Clergy (Retired) ______Clergy (On Leave from Call) Conference Youth: No Charge (includes assembly and meals) ______Youth Male ______Youth Female

______Clergy ______Retired Clergy ______Deacon (includes AiMs, Diaconal Ministers, Deaconesses) Ministers of Word and Sacrament NOT Under Call or Appointment ______Clergy (Retired) ______Clergy (On Leave from Call) Conference Youth: No Charge (includes assembly and meals) ______Youth Male ______Youth Female

ADVISORS (voice, not vote) (includes assembly and meals)

ADVISORS (voice, not vote) (includes assembly and meals)

Ministers of Word and Service NOT Under Call or Appointment ______Deacon(includes AiMs, Diaconal Ministers, Deaconesses) -$35 ______Synodically Authorized Minister-$35 ______Lay Synod Council Member - No Charge

OBSERVERS: (includes assembly and meals) ______Visitor-$35

Over

Ministers of Word and Service NOT Under Call or Appointment ______Deacon(includes AiMs, Diaconal Ministers, Deaconesses) -$35 ______Synodically Authorized Minister-$35 ______Lay Synod Council Member - No Charge

OBSERVERS: (includes assembly and meals) ______Visitor-$35

Over

More Information:

More Information:



Please send a separate check to the synod, do not combine with benevolence, etc.



Please send a separate check to the synod, do not combine with benevolence, etc.



New this year! If your voting members are Young Adults they are FREE!



New this year! If your voting members are Young Adults they are FREE!



Use one form per person. Just copy this form as needed.



Use one form per person. Just copy this form as needed.



No refunds for cancellations after April 14.



No refunds for cancellations after April 14

Send registration and assembly fees payable to:

Send registration and assembly fees payable to:

Northwest Synod of Wisconsin 944 24 1/4 ST, Suite 2 Chetek, WI 54728

Northwest Synod of Wisconsin 944 24 1/4 ST, Suite 2 Chetek, WI 54728

For your convenience—you may register ONLINE at www.nwswi.org

For your convenience—you may register ONLINE at www.nwswi.org