Reservation Form
September 20, 2017
Presbytery Meeting
Mercy by the Sea, Madison, CT

 

Title (Elder, Rev., Mr./Ms.) & Name:

Commissioner or clergy?

 

 

Commissioner
Alternate Commissioner
Parish Clergy
Honorably Retired
Validated Ministry
Member-At-Large
Lay Roundtable Member
Staff
Other
Lunch? ($12 per person) Yes
No
Vegetarian
Gluten-free
Title (Elder, Rev., Mr./Ms.) & Name:
Commissioner or clergy? Commissioner
Alternate Commissioner
Parish Clergy
Honorably Retired
Validated Ministry
Member-At-Large
Lay Roundtable Member
Staff
Other
Lunch? ($12 per person) Yes
No
Vegetarian
Gluten-free
Title (Elder, Rev., Mr./Ms.) & Name:
Commissioner or clergy? Commissioner
Alternate Commissioner
Parish Clergy
Honorably Retired
Validated Ministry
Member-At-Large
Lay Roundtable Member
Staff
Other
Lunch? ($12 per person) Yes
No
Vegetarian
Gluten-free
Church Name:
Church Town:
Email address of person submitting reservation:

Is anyone a new commissioner?
If yes, please list name and email

 


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