2009 OREGON SYNOD ASSEMBLY May 22-24, 2009 Hilton Hotel & Conference Center
God’s Work. Our Hands. Building Community. Eugene, Oregon
REGISTRATION INFORMATION Please print:
Name: ___________________________________________ Phone: ( )
Street Address: ___________________________________ City & Zip:
Email Address: ____________________________________
Church Name: ____________________________________ City: _________________________________________
Please Clergy Voting Member (Parish) Lay Synod Council Voting Member
check: Clergy Voting Member (Non-parish) Add’l Voting Member (Color/Language)
Clergy Voting Member (Retired) Lay Voting Member
Rostered Lay Voting Member (Retired) Visitor
Rostered Lay Voting Member (Active) Display
Also check: Male or Female
VOTING MEMBER REGISTRATION
Voting Member Registration Fee: includes voting member assembly materials, program speakers, materials, and meal package.
Meal package includes Friday dinner; Saturday breakfast, lunch and evening banquet; and Sunday breakfast
Please indicate any special dietary needs (e.g.vegetarian) ______________________.
Select A or B, based on your registration date: A: Registration Fee by April 30 $235.00 $ __________
B: Registration Fee after April 30 $255.00 $ __________
Your total as a voting member $ __________
Visitor Registration Fee: program, speakers and materials.
Select A or B, based on your registration date: A: Registration Fee by April 30 $50.00 $ __________
Registration Fee with meals (listed above) by April 30 $175.00 $ __________
B: Registration Fee after April 30 $75.00 $ __________
Registration Fee with meals (listed above) by April 30 $200.00 $ __________
Your total as a visitor $ __________
OPTIONAL SATURDAY EVENING BANQUET AND PROGRAM ONLY
For guests NOT registered for the assembly but wishing only to attend the Saturday dinner and evening program.
Note: Food Package for voting members and meal package for visitors includes this banquet. $40.00 $ __________
Your total banquet cost $ __________
Please indicate your choice for the banquet meal: (vegetarian) ____________ (beef) ____________ (salmon) ____________
I would like to contribute $________ to support a congregation with a “Come to the Feast” Scholarship.
I would like to contribute $ ________ to assist with the coffee service.
REGISTRATION DEADLINE: Thursday, April 30, 2009
Return this form, when completed, to Registrar - Linde Eidenberg
(Do not send housing fees to the registrar) 29905 SE Wheeler Road, Boring, Oregon 97009
Enclose your check payable to: “Oregon Synod, ELCA”
HOUSING (your hotel reservations are separate from your assembly registration)
To book your housing online visit: http://www.oregonsynod.org/09assembly. Select “2009 Hotel Registration Information”
You may also call 1-800-937-6660 or 541-342-2000; make sure to mention that you are part of the Oregon Synod, ELCA
Assembly at the Hilton Hotel and Conference Center, Eugene. To receive the reduced rate for the synod’s reserved block of
rooms, please book by April 21.
PLEASE COPY THIS FORM AS NEEDED