Registration Form
 
March 7-8, 2009
   
 

Name:______________________________ Spouse:____________________________
   
  Address:_______________________________________________________________
   
  City:_____________________________ State:______________ Zip:______________
   
  Home Phone:______________________ Work Phone:_________________________
   
  Church:_______________________________________________________________
   
  District:_______________________________________________________________
   
  E-Mail:_______________________________________________________________
 

 
 
All Costs are Per Couple
  Full Participation (Registration, Room & Meals)
$140.00
  Day Participation (Registration & Meals)
$75.00
     
 

Goodson Lodge
$8.00
 

Lunch Saturday at VUMAC
$13.50
 
 

Please make check payable to: Virginia Annual Conference

Mail Check/Registration Form to:
 
Lloyd Sholes
 
1313 Canterbury Lane
 
Colonial Heights, VA 23834
 
Deadline for registration is Feb 28, 2009
 

Call VUMAC at (434) 292-5308