Registration Form 2008

Full Conference Fee:                    $480.00
      Registration Fee:                    $270.00 (due with registration)      ($60 non-refundable after June 1)
      Balance:                                  $210.00 (due first day of conference)
Extra Charge for Single room:    $25.00

Make Check payable to: F. L. Conference Inc.

Please click here to get a pdf form, or click here to get a printable form (for those without Adobe reader), complete and send the completed Form and Check for $250 to:
Susan Chadwick, Registrar
500 Karin Avenue
Vestal, NY 13850
607-741-0175

If registration is postmarked before May 15, you will receive a $10.00 discount on the balance due.

REGISTRATION FORM 2008 Please fill in all information.

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Last Name First Name First Name Preference for Nametag

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Street City State Zip

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Telephone E-mail address

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Parish Location Diocese

I expect to arrive on _____________________________________ depart on ___________________________________________

COURSE PREFERENCE 1^st Choice _____ 2^nd Choice _______ Please indicate by course number.

Courses are filled on a first come - first served basis. Some have size limits so register early.

Male _____ Female ______

Age: o18-25 o 25-40 o 40-55 o55 & over

Smoker: o Yes o No Have you attended before? o Yes o No

Special Needs: Dietary or Physical Limitations (Note if you have difficulty with stairs or physical barriers.) ______________________________________________________________________________

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Choice of Roommate_________________________ Building/Room Preference ______________

Single room (if avail) at $25 fee: Yes ___ No___

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