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