North & West Teachers' Conference Online Registration
"Hope in the 21st Century" October 15, 2010 Messiah Lutheran Church 1550 South Poseyville Rd. Midland, MI 48640
Email:
School Name:
City:
Contact Person:
Phone:
Today's Date:
Cost: $45 per active pastor and teacher; $15 per emeriti and student teacher
Number of Active Pastors and Teachers at $45 Select Number of Attendees 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50
Number of Emeriti and Student Teachers at $15 Select Number of Attendees 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50
TOTAL AMOUNT OWED FOR REGISTRATION:
Do any attendees have special dietary needs? Yes No
If Yes Explain:
Are you using Title Funds to pay for registration? Yes No
If Yes, Date Invoice given to your Public School District/ISD?
Public School District/ISD Contact Person:
Public School District/ISD Contact Phone Number:
EARLY BIRD REGISTRATION HAS CLOSED An invoice will be mailed (e-mailed) from the District Office to your ministry's contact person. Please pay promptly and make checks payable to: Michigan District- LCMS. Mail checks to: Michigan District --LCMS Attention Carol Williams: 3773 Geddes Road Ann Arbor, MI 48105
