“Walking the Talk of Welcome”

 

REGISTRATION FORM

(please press the “print” button on your browser to print this form)

 

Please register by March 28, 2008 as space is limited.


Are you representing a congregation? If so, which one? _________________________

 

Please mark one:       __My (our) congregation is not Reconciling in Christ (RIC).

                                 __My (our) congregation is considering becoming Reconciling in Christ (RIC).

                                 __My (our) congregation is already RIC.

 

If your congregation is already RIC, would you be willing to counsel a congregation that's considering RIC? Yes/no? _____

 

Cost

$7 per individual; $15 per congregation (up to 4 individuals) 

 

Total Enclosed: _______

 

Please make checks out to  “Committee for Inclusivity.” No cash, please.

 

Mail registration and payment to:                                  

Walking the Talk of Welcome

c/o Joan Duke

2377 Valentine Ave

St. Paul, MN 55108

 

Thanks!

 


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Person 1

Name: ______________________________________________________________

 

 

Street: ______________________________________________________________

 

 

City, State, Zip: _______________________________________________________

 

 

Phone (optional): ___________________ Email (optional): _____________________

 

 


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Person 2

Name: ______________________________________________________________

 

 

Street: ______________________________________________________________

 

 

City, State, Zip: _______________________________________________________

 

 

Phone (optional): ___________________ Email (optional): _____________________

 

 


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Person 3

Name: ______________________________________________________________

 

 

Street: ______________________________________________________________

 

 

City, State, Zip: _______________________________________________________

 

 

Phone (optional): ___________________ Email (optional): _____________________

 

 


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Person 4

Name: ______________________________________________________________

 

 

Street: ______________________________________________________________

 

 

City, State, Zip: _______________________________________________________

 

 

Phone (optional): ___________________ Email (optional): _____________________