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 5/15/2013: mfgop@yahoo.com

Requests for airport transportation can be emailed to fobop1@aol.com

Questions about the Gathering can be emailed to: pmdaly@beld.net

Gathering Fees can be mailed to:
Jeanne Stickling
51 S. Spring St., Elgin, IL 60120
Membership dues of $25.00
Non-refundable deposit of $60.00
Member Gathering fee of $350.00
If postmarked after June 1, 2013 fee increases to $400.00
(Please make sure your name is included on the check.)