Guest and Retired/Licensed Clergy Registration for Diocesan Convention 2019
When: Saturday, November 2, 2019 | 10am EDT Eucharist | Noon Business Meeting | 1pm Lunch
Where: Trinity Episcopal Church, 611 W. Berry St., Fort Wayne IN 46802

Registered Guests & Retired/Licensed Clergy WITH Lunch
- ($25) Receive lunch (& Diocesan t-shirt).
Registered Guests without Lunch
- ($0) ALL are welcome. Please bring your own lunch.

Please print a copy of this form (sent to you via email after you press submit)
and send it with a check payable to:

Episcopal Diocese of Northern Indiana @ 117 N Lafayette Blvd, South Bend IN 46601

Email address *
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First Name *
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Last Name *
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Parish (or Retired) *
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