Register for the LCMC Annual Gathering has not yet opened for 2010!

Celebrate!

Page 1 of 2

Contact Information

Check One:  LCMC Delegate   LCMC Associate/Member/Visitor   Seminarian

First Name   Last Name

Address   City   State   Zip Code

Phone   Email   Confirm Email

Congregation Information

Congregation Name

Address   City   State   Zip Code

Phone   Email   Confirm Email

Registration Fee

Fee includes lunch Monday & Tuesday and dinner Sunday.Please list any special medical dietary needs for us to consider:

 $130.00: LCMC Congregational Delegates, Associate Members, and Others
 $150.00: LCMC Congregational Delegates, Associate Memebers and Others
_______PLUS Optional Monday Evening Dinner.
_______District Choice (ie. Cross Alone, Epiphany, ERD, Great Lakes, Heartland, Northwest)
 $60.00: One Day Visitor (specify which date)
 Free: Seminarian

Payment

 Mailing a Check (payable to "LCMC" - your check is your receipt)
 Credit Card (finalize payment on the next screen)