January 30 & 31, 2006
La Casa de Crista Lutheran Church
6300 East Bell Road
Scottsdale, Arizona 85245

Registration Form

Your Information
Name
Address
City • State • Zip
Phone
E-Mail Address
Local Church
Summer Address
City • State • Zip

Hotel Accommodations
q I have made a reservation at the Sleep-Inn, Scottsdale
q  I am bringing my own RV

RV Registration
Type of vehicle
Slide-Outs  q  Yes    q  No    q  One Side    q  Both Sides
Awnings     q  Yes    q  No    q  One Side    q  Both Sides

Fees
Includes program materials, two lunches, evening meal, coffee hours, and goodies
$50.00 per person for two days - (no one day fees)
$55.00 per person - on site registration

Group - Available only until January 15, 2006
All group registrations must include a form for each person, but only one check.
10 or more - $40 per person • 5 to 9 people $45 per person

Make all checks payable to Lutheran Seniors Assembly & Mail to the Registrar:
Shirley Scott • 7833 E. Bonnie Rose Ave. • Scottsdale, AZ 85250-7645
Phone: 480•429•3545 No refunds are available. Other Questions: Tonya Cockram 623•878•3996

 

Send mail to webmaster@lutheranseniors.org with questions or comments about this web site.
Last modified: 06/06/06