Name
Name preferred on badge
Address
City State Zip
Parish City of Parish
Home Phone Office Phone
Email Address
Number of Years Attending Conference Past President Keyman

Please reserve a room for me at DuBose (2 nights) - To be paid for at check-in
Enter a number "1", "2", "3", or "4" to indicate your accomodation preference:
Bishops Hall (with bath and linens, two nights - Double $68)
Claiborne Hall (dormitory, with hall bath, and linens, two nights - Single $72 - Double $48)
Old Cabins (per bed, two nights, with linens, maximum 14 per cabin - $24)
New Cabins (bunkbeds, two nights, with linens, maximum 24 per cabin - $36)
Motor Home ($25) / Tent Camping ($12)
I'm staying in a double room at DuBose. My roommate will be:
I don't have a roommate, please assign me one.
I'm making my own reservation at

CONFERENCE FEES
Registration (includes meals, does NOT include room - Room should be paid for at check-in.)
$ 105 New Attendee
$ 115 Prior to July 1
$ 125 After June 30
$ 135 Day of Registration

ACTIVITIES (Please Choose One - and please pay for golf and tennis with registration)
Golf Tournament (includes 1 golf cart per 2 players)  $45
Handicap or average score Age
Must be preregistered and paid by July1 - Choose one: Sewanee Willowbrook
Tennis Tournament  $5

Canoe Trip (pay at conference)
Choir (I would like to participate in the choir)

Comment (short)

Please click on the "Submit" button below to go to a secure site to pay for Conference and Activity fees.

Privacy Policy