Request edit access
Province III 2018 Synod Registration
May 6-8, 2018 at the Holiday Inn – Martinsburg, West Virginia

Attendees must make their own hotel reservations. Special conference rate of $99 at Holiday Inn, 304-267-5500 or www.holidayinn.com/martinsburg.

Cost is $195 per person conference fee. $125 for Monday, May 7 only. Checks should be made out to Province III.

Payment should be mailed at the time of registration to:
Province III
P.O. Box 231
White Hall, MD 21161

Email address *
I am registering for: *
First Name *
Your answer
Last Name *
Your answer
Title
Your answer
Name as you wish it to appear on your nametag *
Your answer
Phone
Your answer
My Diocese is: *
Your answer
My role (Bishop, Clergy deputy, Clergy alternate, Lay Deputy, Lay alternate, Non-deputy attendee) *
Your answer
Dietary restrictions?
Your answer
Other accommodations required?
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service