Guest Registration Form

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GUEST REGISTRATION FORM (Duplicate as needed)

This form is for Guests only. Guests are non-voting attendees such as licensed clergy, clergy spouses, exhibitors, and curious spectators. Do not use this form if you are Parochial Clergy, Non-Parochial Clergy, Lay Delegate, Retired Assigned Clergy, or Retired Non-Assigned Clergy. Guests are not allowed on the floor of convention. There is a separate section where guests will be seated. Guests will check-in at the “Guest Table” during Registration. See note below for an exception for licensed clergy. Please send in this completed form and a check payable to The Episcopal Diocese of Dallas, noting “Convention Guest” on the memo line, but Friday October 26, 2018 to: The Episcopal Diocese of Dallas Attn: CONVENTION REGISTRATION 1630 N. Garrett Avenue Dallas, TX 75206 Lunch on Saturday is included in the price listed below. Guests must pre-register using this form in order to be served lunch. Lunch tickets are not for sale on the day of convention. There is no charge for the Clergy Spouse Luncheon, but all attendees must register using this form. Number of guests _____ Guest _____ Licensed Clergy _____ Clergy Spouse _____ Clergy Spouse Luncheon only Total enclosed (checks only)

$75.00/person $75.00/person $25.00/person $0.00/person

= $ _________ = $ _________ = $ _________ = $ _________ = $ _________

If you are a licensed clergy on staff at a parish and would like to be seated on the floor of convention with your parish delegation, please check here to obtain the Bishop’s permission. Name(s) (continue names on separate page, if necessary) Name on badge (please print) Home church or organization Name on badge (please print) Home church or organization EPISCOPAL DIOCESE OF DALLAS 1630 N. Garrett Avenue X Dallas, Texas 75206 X 214-826-8310

www.edod.org/conven,on2018/