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 4/15/2011: sullyop@aol.com

Requests for airport transportation can be emailed to

Questions about the Gathering can be emailed to:

Gathering Fees can be mailed to:
Jeanne Stickling, OP
701 Locust Rd #2N, Wilmette, IL 60091-2217
Membership dues of $35.00
Member Gathering fee of $350.00
If postmarked after May 15, 2011 fee increases to $400.00
(Please make sure your name is included on the check.)