Elders Registration Form Elders Retreat – February 4, 2017 Concordia University, St Paul, MN
First Name:________________________________ Last Name:________________________________ Address:__________________________________ City:_____________________________________ State:____________________________________ Home Church:_____________________________ Home Church City:_______________________State:__ Email Address:_________________________________
Cost of the seminar is $30.00 if registered before January 15, 2017. Registration after January 15th is $40.00.
Overnight hotel accommodations (if necessary) are available near Concordia University
For further information – contact: Robert Van Gundy Phone 651-738-1961 Email vangurk@gmail.com or
Mail payment to: Bethlehem Lutheran Church Attn. Bob Van Gundy – Elders Retreat 2017 655 Forest St St Paul, MN 55106
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