Minnesota North District
Minnesota North District 2017 Fall Island Camp Conference Registration Form Name: ___________________________________________________________ Address: _________________________________________________________ City: _________________________________________ Zip: ______________ Congregation: ____________________________________________________
Attendance is required for all actively serving pastors. If you are unable to attend, please state the reasons in the space provided. The $50 registration fee is required from all actively serving pastors, regardless of attendance. Vicars and Emeriti are not required to pay registration. Check the appropriate options: I am a ____ Pastor / ____ emeritus / ____ vicar… _____ I will not be attending because: _______________________________________ ________________________________________________________________ _____ I will be attending. Select your meal and lodging plan: PLAN Option A – includes all meals and Lodging
6 meals, 2 nights
PRICE $100.00
Option B – includes all meals, no lodging
6 meals, 0 nights
$60.00
Option C - Ala Carte (select all that apply)
___ Sunday Dinner ___ Sunday Lodging ___ Monday Breakfast ___ Monday Lunch
$12 $35 $12 $12
___ Monday Dinner ___ Monday Lodging ___ Tuesday Breakfast ___ Tuesday Lunch
$12 $35 $12 $12
$_______
Subtotal: plus $50.00 Registration fee: Total:
Registration forms are due by September 3, 2017 Include your total registration and meal/lodging payment with this form. Make checks payable to “MNN District Pastoral Conference” and send to: Rev. Stephen Rutherford P.O. Box 12 Backus, MN 56435-0012
Attendance is required for all actively serving pastors. If you are unable to attend, please state the reasons in the space provided. The $50 registration fee is required from all actively serving pastors, regardless of attendance. Vicars and Emeriti are not required to pay registration. Check the appropriate options: I am a ____ Pastor / ____ emeritus / ____ vicar… _____ I will not be attending because: _______________________________________ ________________________________________________________________ _____ I will be attending. Select your meal and lodging plan: PLAN Option A – includes all meals and Lodging
6 meals, 2 nights
PRICE $100.00
Option B – includes all meals, no lodging
6 meals, 0 nights
$60.00
Option C - Ala Carte (select all that apply)
___ Sunday Dinner ___ Sunday Lodging ___ Monday Breakfast ___ Monday Lunch
$12 $35 $12 $12
___ Monday Dinner ___ Monday Lodging ___ Tuesday Breakfast ___ Tuesday Lunch
$12 $35 $12 $12
$_______
Subtotal: plus $50.00 Registration fee: Total:
Registration forms are due by September 3, 2017 Include your total registration and meal/lodging payment with this form. Make checks payable to “MNN District Pastoral Conference” and send to: Rev. Stephen Rutherford P.O. Box 12 Backus, MN 56435-0012
