NT-NL 2003 Assembly Registration Form

  • Assembly registration fee does not include hotel accommodations.
  • A check must follow all web registrations.
  • Register one time per person. Each person must register separately.
  • Return completed forms with Congregation's total fee to:

NT-NL SYNOD
P.O. Box 560587
Dallas, TX 75356-0587
Rostered Ministers: If you are unable to attend, please return this form with a letter asking to be excused.
Congregations: If you are unable to send the required number of voting members,
please return  a letter of explanation.
Title:  Name: Male or Female: M F
First Name for Badge: Email address
Mailing Address:
City, State: ZIP Code:
Daytime Phone :  Evening Phone:
Congregation/ Organization:  City, State:
Pastor/s: Synod Conference:
I will be staying at the Marriott Quorum Hotel I will be Commuting
Emergency Contact NOT ATTENDING assembly:
Emergency Contact Relationship:
Emergency Contact Daytime Phone:
Emergency Contact Evening Phone:
Would you be interested in Spanish Language
translation at the assembly proceedings?		 Si
Do you have any Special Needs requiring accommodations?:
- SPECIAL OPPORTUNITIES -
Please read the questions below and answer them if they apply to you.
If you are a VOTING MEMBER would you be willing to serve on one of the assembly’s
standing committees?    Yes    No      If yes which one? Check one!
Elections Reference & Counsel Credentials Minutes Any
Members of these committees are selected from registered voting members based on locale
and gender in an attempt to give a fair representation across the NT-NL Synod.
If you are a VISITOR would you be interested in serving as a facilitator? Yes   No

Voting Member:

Please check one:
Lay Voting Member
Clergy with Call
Retired Clergy (fee waived)
Deacon/Associate in Ministry
Conference Youth Voting Member (under 21)
Conference Name:
Synod Council Layperson (fee waived)

Visitor/Non Voting Member:

Please check one:
 Clergy/Deacon/AiM on leave from call
Intern
Visitor (guest, spouse, agency rep., etc.)
Spouse of Clergy, Deacon or AiM
Staff/Planning committee member
Displayer (includes Saturday box lunch)
Please check amount:

$145 “Early Bird” registration fee
   (by March 15, 2002)
$160 Regular voting member registration fee
$170 Commuter “Early Bird” registration fee
   (by March 15, 2002)
$185 Commuter registration fee
Fee waived
Reason:

Please check amount:

$35 Visitor fee
    (includes both assembly meals)
$50 Displayer fee
    (includes space & Sat. box lunch)


Fee waived
Reason:

If you are the spouse of an NT-NL Rostered Minister (attending as Voting or Non-Voting) will you be attending the Saturday luncheon for Rostered Ministers Spouses (Ordained, AiMs, and Intern spouses)? Please note: the Leadership Commission is hosting this event.

Yes   No   Maybe


If you are a VOTING MEMBER or VISITOR, at extra cost, will you be interested in joining folks on a special outing Saturday night to one of the various options the Hospitality Committee arranges?

Yes   No   Maybe


Note: You will receive details about the Saturday options in your Guide to the Assembly mailed with the Book of Reports after you register. Eating early at the hotel may be needed to make the planned event.
 

   

CLAIMING THE GREAT MISSION COMMISSION