Registration
Event Timing: September 20th-23rd, 2017
Event Address: 11550 Luna Rd, Dallas, TX 75234
Contact us at 817-723-5390 (Mr. Thomas Mathew) or 972-746-3614 (Mr. Easaw Maliakal)
Name 1
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Name 2
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Name 3
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Name 4
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Email
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Phone Number
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Cell/Home
Address
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Emergency Contact Name
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Emergency Contact Number
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Name of Parish
Parish name (if OTHER selected above)
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Name of Vicar
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Accommodation Arrangement
**Double Tree and Omni hotel are the closest hotels to church.
Interested in Dallas sightseeing?
Additional charge of $130/person inclusive of transportation, entrance fee & lunch, Date: Sept 20th & Time: 8 am to 3 pm
Any special needs (such as special food)?
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General Comments/Additional participants
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Number of participants
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Total fee
(Conference fee $100 / person to be paid before Aug 15, 2017 + Sightseeing fee if interested in Dallas sightseeing)
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Mode of payment
For payment instructions please refer to http://mtcfb.org/senior-conference
Airport pick-up needed?
Please provide the Arrival information in the sections below if airport pick-up needed
Arrival Flight Number
Ex: AA 1024
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Arrival Date/Time
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Airport drop-off needed?
Please provide the Departure information in the sections below if airport drop-off needed
Departure Flight Number
Ex: AA 1024
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Departure Date/Time
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