NAME (Last)____________________________First___________________M.I._____ 

STREET ADDRESS____________________________________________________

CITY________________________________ STATE_________ZIP_______________

Office Phone______-______-_________           Home Phone______-______-________

FAX _____-_____-________   E-mail_______________________________________

Church Affiliation _______________________________________________________

I / we are driving ____ flying ____ by airline ____________________ flight #_________

Time of arrival _______ departure _______  Need shuttle to conference? ____ Yes ____ No

Fees:

___ Per Person              $225 (before 4/01/10)         $250 (after 4/01/10)

___ Spouse                    $100 (before 4/01/10)         $100 (after 4/01/10)  (limited double rooms)

Commuter Rate:  Wed., Apr. 21, Satterlee lectures and lunch $95 (before/after 4/01/10)

Make checks payable to:  Academy of Parish Clergy

Mail Registration Form with payment by 4/09/10 to:

Rev. Mel Henrichs, APC

2010 APC Conference Registration

928 Alabama Court

Sturgeon Bay, WI 54235-1114

Phone:  920-746-5110

E-mail:  melh@wisconsinumc.org

* The Siena Center is conveniently located south of Milwaukee on the Lake Michigan shoreline.  Milwaukee's Mitchell International Airport is only 25 miles north.  Transportation will be scheduled to and from Mitchell International Airport for conference attendees at no cost on April 20 and 22.  Accomodations include a few rooms with two twin beds for couples.  Most rooms are singles.  All conference activities will be in one building, which is handicapped accessible and has ample free parking.