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You are here Home ~ serraUSA >> serraUSA "In the Loop" >> Super Weekend! >> SerraUSA Annual Meeting >> SerraUSA Getting to South Bend >> Annual Meeting & Super Weekend Registration

USA Council of Serra International

Annual Meeting ~ Super Weekend

Registration

Instructions

This form may be used to register for the USA Council of Serra International Annual Meeting ~ Super Weekend. Please complete this online registration form including your address and personal contact information particularly your phone, fax number, and email so that we can confirm your registration via telephone, the USA Council will contact you once we receive the completed registration.

Do not include your credit card information anywhere on this form.

Please provide all possible contact information, so our meeting registrations will be complete.

When you are finished filling in the form, click the Send button.

Please register before May 15, 2008 for the Annual Meeting ~ Super Weekend June 18-22, 2008.


Meeting Registration

Yes, I will attend and register for Super Weekend!
Yes, I will attend and register the Annual Meeting Conference! Registration fee applies only to the Annual Meeting conference.
Yes, I WILL need a room for the weekend. (Please complete both the meeting and hotel reservation sections.)
No, I WILL NOT need a room for the weekend. (Please complete the meeting registration section only.)
Serra Club of


Contact Information

Name:
Address 1:
Address 2:
City:
State:Two-character US State
Zip Code:
Home Phone:include area code
Work Phone:include area code
Fax:include area code
Email Address:
Additional Registrant Name:
Name Tag1:
Committee(s):
(crtl-click for multiple committees)
Position:
(crtl-click for multiple positions)
Name Tag2:
Committee(s):
(crtl-click for multiple committees)
Position:
(crtl-click for multiple positions)


Hotel Reservation

Make your hotel reservations for the two hotels below through the USA Council. Both are connected to the conference center where the meetings will be held.
Breakfast is included at both hotels.
The hotels have also requested that all rooms be guaranteed with a credit card number, therefore the USA Council Office will contact you to confirm your hotel reservations and credit card information.

Hilton Garden Inn
53995 State Road 933
South Bend, IN 46637
Phone: 574.232.7700
Fax: 574.232.7711
Web site: www.southbend.stayhgi.com

Type of room:
King ($118.95)
Queen Double ($118.95)
Jr. King Suite ($128.95)
Smoking Room Non-Smoking Room
Arrival:
Day:  Time:
Departure:
Day:(Checkout time is 12:00PM)
Rooming with:
Name:
 

Inn at Saint Mary's
53993 933 North
South Bend, IN 46637
574.232.4000
Web site: www.innatsaintmarys.com/

Type of room:
Std King ($103.00)
Std Double ($103.00)
King Bed Suite ($103.00)
Concierge Room/King ($113.00)
Concierge Room/2 Doubles ($113.00)
Smoking Room Non-Smoking Room
Arrival:
Day:  Time:
Departure:
Day:(Checkout time is 12:00PM)
Rooming with:
Name:

Fees

Registration Fee:
The registration fee below includes lunch and dinner on Friday, 6/20, and Saturday, 6/21.Registration fee applies only to the Annual Meeting conference only.
per registrant
Dinners NOT included in the registration fee:
Buffet dinner on Wednesday, 6/18:
per registrant
Additional dinners Wednesday, 6/18:
@ $35.00 per person, please add the additional dinners to your total fees.
Dinner on Thursday, 6/19:
per registrant
Additional dinners Thursday, 6/19:
@ $30.00 per person, please add the additional dinners to your total fees.
 
Total Fees:
Registration fees plus dinner(s)
Balance due:
Make checks payable to USA Council of Serra International. You may also charge registration/dinner charges to your credit card.
Yes, I would like to use my credit card. The USA Council Office will contact by phone to confirm your registration fees and credit card information.
If you cannot attend this event but would like make a donation to the Bishop Britt Vocation Fund, please let us know and we will contact you by telephone.

Special Instructions:

Please enter security code: 6262

 

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