Step 1) (print clearly)
Name ____________________________________________________
Address __________________________________________________
City ______________________St ____________ Zip _____________
Phone ______________________ (h) _______________________ (o)
Email _____________________________________
Church Name/Location ____________________________________
Clerk’s Signature __________________________________________

Step 2) Status (choose 1)
___ Clergy w/standing in ME
____Lay delegate
____Youth delegate*
____Coordinating Council
____Commission/Committee
____Association Officer
____Visitor
____Exhibitor
*youth must send health form
with registraton materials to
attend annual meeting

Step 3) Workshops
(see website for descriptions)
Choose three (3) of your top choices and we will make sure you are able to attend two (2).
Workshop #_____
Workshop #_____
Workshop #_____

Step 4) Child and Youth Care
Fill out Child/Youth Care Form on Web site and mail directly to Sunday River, Bethel, Maine. Deadline: August 26, 2005

Step 5) Hotel/ Condo/Snow Cap Inn Reservations - Sunday River, Bethel
For Assistance Call 1-800-430-0767
__ I/we understand that if we stay at the Grand Summit Hotel or one of their Condos in Bethel, we are responsible for our hotel/condo incidental expenses as well as any damage resulting in our stay. ____ initials

Step 6) Pre-Annual Meeting Retreat
September 22-23, 2005 from 1:00 p.m. to 1:00 p.m. (Thurs-Fri lunch)
Title: “Bring Justice into the World and our Communities”

Retreat Cost: $55.00 per person (includes program and 3 meals)
Accommodations are made directly with hotel - see flyer on web
____ I will be attending this retreat

Step 7) Registration Fee
Adults: $35 ($40 after 8/26)
Youth: $15 ($20 after 8/26)
(Youth are 18 and under)
Step 8) Meals: (see Meal Choices listed on web site)
Friday Dinner P or E (circle one) $ 22.50 _______
Sat Lunch $ 15.50 _______
Sat. Act Justly Lunch $ 15.50
Sat Dinner C or V (circle one) $ 22.50 _______

Special Saturday Invitational Luncheons
Sat. Retired Clergy/Spouse $ 8.00 ________
Sat. Bangor Theological Seminary $ 15.50 ________
Total Meals $_________

Grand Totals of 6, 7, 8
6. Retreat $ ________
7. Registration Fee ________
8. Meals ________
Grand Total enclosed $________

Specific Needs
Dietary, Vision, Hearing, Transportation. Please be specific. Call Conference office
1-800-244-0937

Grand Summit Guests Note:
If you rent at Grand Summit Hotel/Condo
or Snow Capp Inn, breakfast will be included in the cost per person. Shuttle service will be available at these locations.
Private Housing: If you would like to stay with a family in the area please fill out the Private Housing Form on web site. www.maineucc.org

Pick up keys for Hotel & Condos at Grand Summit Hotel --- Go to Snow Cap Inn directly to register