2018 GA-PAUMCS ANNUAL CONFERENCE
AUGUST 23-26, 2018
CHRIST UMC, 511 Russell Parkway, Warner Robins, GA

DEADLINE FOR DISCOUNTED HOTEL RESERVATION: August 8, 2018
DEADLINE FOR CONFERENCE REGISTRATION: August 3, 2018

Hotel accommodations will be at Country Inn & Suites, 220 Margie Dr, Warner Robins, GA. To reserve your room, please call (478) 971-1664. We have negotiated a rate under “PAUMCS” of $93+tax per night for 1-bed King room and $98+tax per night for 2-bed Queen room. If you plan to room with someone, please let reservations know. Room rates include a continental breakfast at the hotel.

Name *
Your answer
Birthday (M/D) *
Your answer
Home Address *
Your answer
City, Zip *
Your answer
Home Phone Number
Your answer
Cell Phone Number *
Your answer
Work Phone Number *
Your answer
Preferred Email Addres *
Your answer
Name and address of Church or Agency *
Your answer
Job Title *
Your answer
District *
Your answer
Conference *
Number of Years Employed *
Your answer
Name as you would like to appear on Name Tag *
Your answer
Member of GA-PAUMCS? If so, how many years *
Your answer
Member of National PAUMCS? If so, how many years *
Your answer
Currently Serve on Executive Committee *
Are you a Certified Secretary? If so, what year? *
Your answer
Are you an Advanced Certified Secretary? If so, what year? *
Your answer
Are Continuing Education Units Requested *
Dietary restrictions *
Cost for Conference
Registration Fee (includes Continuing Education and meals) *
First Time Attendee *
Optional Activity *
Additional Guest for Meals *
I understand that I will send a check for the total amount due payable to GA-PAUMCS, Annette Harmon, Salem UMC, 3962 Salem Road, Covington, GA 30016 OR pay by PayPal at https://www.paypal.com/webapps/shoppingcart?flowlogging_id=8c3983e92390&mfid=1525191795612_8c3983e92390#/checkout/openButton *
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of UMCommission | Higher Education and Collegiate Ministry. Report Abuse - Terms of Service - Additional Terms