Elders Registration Form

Elders Retreat – February 4, 2017

Concordia University, St Paul, MN


First Name:________________________________

Last Name:________________________________




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