Registration

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Registration Episcopal Diocese of Milwaukee The 170th Annual Convention October 14, 2017 St. John’s Northwestern Military Academy 1101 Genesee Street | Delafield, WI 53018 | 1-800-752-2338 Parish ________________________

City ________________________

Voting Deputies – (LAY) NAME ____________________________

NAME

____________________________

E-mail ____________________________

E-mail

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NAME ____________________________

NAME ____________________________

E-mail ____________________________

E-mail

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Voting Deputies (CLERGY) NAME ____________________________

NAME ____________________________

E-mail ____________________________

E-mail

NAME ____________________________

NAME ____________________________

E-mail ____________________________

E-mail

____________________________

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Convention Registration Fee for Each voting Deputy = $50.00 (Includes materials, facility fees, presentations, breakfast & lunch)

Send this form and your check (payable to Episcopal Diocese of Milwaukee) to: Convention Registration c/o Episcopal Diocese of Milwaukee 804 E. Juneau Avenue, Milwaukee, WI 53202

ADVANCE REGISTRATIONS MUST BE RECEIVED AT THE DIOCESAN OFFICE BY SEPTEMBER 29, 2017.

Deputies not registered by September 29th may register at Convention but a $10 per person late fee will apply. The Convention schedule is very tight this year with limited time for on-site registrations . . . so please make every effort to register by September 29th deadline. THANK YOU!