Registration Form
11th Annual Conference - Texas Mission Council
January 27-29, 2003  -  Holy Name Retreat Center, Houston, Texas

Registration Fees
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Please Register me as an Individual Participant _______ Registration Fee $200.00 
Includes all meetings, room for Monday and Tuesday nights, meals Sunday night and Monday, breakfast and lunch on Tuesday, and snacks. Payment is enclosed.


Name Affiliation

Address

City State Zip Code

Telephone e-mail

Please Register me as a Married Couple _______ Registration Fee $250.00 
Bring your mate with you! For only $50.00 more than if you come alone, you and your mate can enjoy the meetings, meals, and companionship offered in this Christian setting. Includes all meetings, room for Monday and Tuesday nights, meals Sunday night and Monday, breakfast and lunch on Tuesday, and snacks for both of you. Payment is enclosed.


Name Affiliation

Address

City State Zip Code

Telephone e-mail

Please Register me as a Visitor _______ Registration Fee $75.00 
Includes all meetings, meals Sunday night and Monday, breakfast and lunch on Tuesday, and snacks. Payment is enclosed.


Name Affiliation

Address

City State Zip Code

Telephone e-mail
Thank You for Registering EarlyPlease cut out your Registration Form and mail it to:
Rev. John R. Whitley, C.S.B. 
PO Box 708 
Sugar Land, TX 77487-0708