Register

Name:
Congregation:
Street:
City/State/Zip //
E-mail
Phone
Preferred Name for tag:
Roommate Request:
Special dietary considerations:
Other special considerations:

Scholarship assistance is available for the Gathering fee. Please email your request by 4/15/2010: sullyop@aol.com

Requests for airport transportation can be emailed to toodooloosue@aol.com

Questions about the Gathering can be emailed to: toodooloosue@aol.com

Gathering Fees can be mailed to:
Sue Tracy, OP
733 Bridge St NW, Ste. 2, Grand Rapids, MI 49504
Membership dues of $35.00
Non-refundable deposit of $60.00
Member Gathering fee of $355.00
If postmarked after May 15, 2010 fee increases to $405.00
(Please make sure your name is included on the check.)