(Click on Registration Form to Download, fill out, then attach to email)
REGISTRATION FORM
135th ANNUAL GATHERING OF THE EPISCOPAL CHURCH WOMEN,
DIOCESE OF LOUISIANA
Solomon Episcopal Conference Center (SECC),
April 29-30, 2022
A separate registration form is required for each person attending. Please make and distribute copies as needed.
Each church is allowed four (4) delegates for voting and is encouraged to invite exhibitors and additional women to attend as guest.
PLEASE PRINT
Name: ____________________________________ Church: ________________________________
Deanery: BR GNO NS SW (circle one)
Mailing Address: ___________________________________________________________________
City: ______________________________________ Zip: __________________________
Email Address: ______________________________ Phone #: ______________________
CHECK ONE ECW Annual Gathering - 2022 Registration and Overnight Reservation fees below.
SECC will be handling room check-in with list provided by ECW Registration Committee.
Food Allergies ________________________________________________________________________
Deadline April 15th, 2022
Commuter: ____ Friday Events w/ Reception $ 25.00
Commuter: ____ Saturday Events w/ Lunch $ 45.00
Commuter: ____ Friday & Saturday all Events $ 60.00
Friday & Saturday Overnight ____ Private Room w/ Hot Breakfast, Lunch & Registration $142.00
____ Semiprivate Room w/ Hot Breakfast, Lunch & Registration $120.00 EACH
Print name of person sharing your room: __________________________
Please Mark the Appropriate Circle Below:
____Diocesan Board Member ____Guest ____Clergy ____Delegate ____Exhibitor:
_____Ministry or _____ Vendor (circle one)
Name________________________________________
Exhibitor meal fees: ____Friday $ 15 ____Saturday $ 25 ____Friday & Saturday $ 40
____________________________________________________________________________________
(WRITE days included on check; these fees only apply if NOT registering as ECW above)
Make Checks Payable to: ECW Diocese of La.
Send Registration Forms & Payments to: Janie Rainey, Diocesan ECW Recording Secretary
317 Benton Street, Denham Springs, La. 70726
We need an accurate head count by April 15th
If you cannot get your form/payment in by then, email Registration Committee Use ONLY
jjrainey@aol.com indicating you are attending & will pay at the door. Total Amount Enclosed $__________