Anglican Church in America

ACA National Synod C September 21 - 23, 2005

Diocese of the Northeast Synod C September 23 - 24, 2005

Online Registration Form

(For use with Credit Card payment ONLY)
Please fill out one form for each person - even those registering only for tours or other special events.

Registration Information
First Name:
 Last Name:
Clergy Title:
(if any)
Nickname for Badge:
(if any)
Parish:
Your Mailing Address:
City:  State:
ZIP Code:
 Country:
E-mail address:    
Telephone:
Please check: ACA Delegate  
ACA Alternate Delegate
ACA Executive Council
 DNE Delegate
DNE Alternate Delegate 		 Observer / Guest
       
Please indicate here what special accommodations you require to fully participate if you require any.
       
Check here if you do not want your name on the list of attendees.
       
Please check the days that you require a handicapped parking space.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
       
Are you planning to stay at the Eastland Park Hotel? 
Note: This question is for planning purposes only. It does not commit you to staying or not staying at this hotel.
Yes
No
       
For Eastland Park Hotel reservations call 1-888-671-8008.Be sure to say you are with the Anglican Church in America for the group rate of $119 per night plus tax. The group rate is available from September 16 through September 27. This discounted rate will not be guaranteed after August 26.

Instructions: (1) To receive discounts, both form and fee must be submitted online or postmarked by due dates indicated above. (2) Payments must be in US currency. (3) All registrations received by September 14, 2005, will be confirmed in writing or by e-mail. The confirmation will be your official receipt of payment. (4) Hotel reservations should be made directly with the hotel, not ACA or DNE. (5) Questions? Call (603-835-7900) or send an e-mail to ACA-Synod@BeaverWood.com

Cancellation Policy: Cancellations must be made in writing. Cancellations received after September 1 will be subject to a penalty of 25% of total fees. No refunds will be given after September 15, 2005.
       
       
WHAT IS INCLUDED IN THE REGISTRATION FEES 
       
  Full ACA Synod ACA Synod
Companion		 ACA Synod
Thursday only		 ACA Synod
Friday only *		 DNE Synod
ACA full registration packet 
Opening reception
Exhibits * *
Thursday continental breakfast
Thursday lunch
Thursday coffee breaks
Reception at Portland Museum of Art
ACA synod banquet
Friday continental breakfast
Friday coffee breaks
Friday lunch
DNE dinner and synod opening ONLY  
DNE synod
(includes Friday dinner and Saturday meals)
           
* Friday morning only. Exhibit hall closes at noon on Friday

REGISTRATION FEES
Postmarked FullACA Synod ACA Synod
Companion		 ACA Synod
Thursday only		 ACA Synod
Friday only		 DNE Synod Total Amount
After August 19 $ 197 $ 147 $ 167 $ 65 $ 89 $
             
 
SINGLE EVENT TICKETS  

After August 19
$
$
$
$
$
$
$
$
 
   
   
   
   
   
   
   
   
  Total for single events     $
                                       
Total registration fee  $
Total for single event tickets $
Total Amount Due $