Conference Registration Form

REGISTRATION FORM

NAME:

First:

Last:

AFFILIATION:

ADDRESS:

Street:

City:

State:

Zip Code:

PHONE:

Business:

Home:

E-MAIL:

Lunch:

Do you need a vegetarian meal? YesNo

Accommodations:

Overnight accommodations are available are available at the Staybridge Suites for both or either Friday and Saturday, September 29 and 30; it is near the conference site. Please call (614) 473-9888 to make reservations at the discounted conference site. Use the code "St. Mary of the Springs" for the conference rate.

Travel Grants:

If you wish to apply for a travel grant to participate in the conference, check here .

For further updates on the conference visit the website http://www.columbusdominicans.org and click on the picture of Sr. Marjorie Tuite O.P.