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IC/FETC 2011 REGISTRATION

January 31 (Eve) - February 3, 2011

IC/FETC CONFERENCE REGISTRATION FORM

Name Title Parish or Org. Address City/State/ZIP Phone/FAX Email

FEES Registration Fee

$

Tues Box Lunch ($15 each)

$

Tues Networking Dinner ($25 each)

$

Wed Networking Dinner ($25 each)

$

TOTAL.................................$

Please list any special needs, including dietary needs:

(If a registration is cancelled a non-refundable fee of $50 will be retained)

IC/FETC REGISTRATION: Full registration includes Monday evening social, Tuesday sessions, and FETC Sessions/Exhibits Wednesday and Thursday. Before 12/1/09 Full Member Registration $200.00 Non-Member Registration 250.00 Wed/Thurs Dinner 25.00 Tuesday Box Lunch 15.00

After 12/2/09 $225.00 275.00 25.00 15.00

Make check payable to INTERACTIVE CONNECTIONS Mail Check and this form to: Caroline Cerveny, SSJ INTERACTIVE CONNECTIONS 557 Dove Terrace West Oldsmar, FL 34677

ROOM RESERVATIONS (Deadline 12/15/09)

Note: If you are ONLY interested in the

In order to be together as a group, a block of rooms has been reserved at the Doubletree Resort Orlando -International Drive, at the rate of $89.00 + TAX.

Pastoral Technology Summit that is being held on Monday evening thru Tuesday please register at - http://intconnect.eventbrite.com

To reserve your room, call Doubletree Resort 800-327-0363. The special rate of $89.00 + taxes is available (3) days pre- and post- conference dates. Rooms cancelled after 12/21/2010 may incur cancellation fees. Note: A room reservation at the Doubletree Resort may not be available after 12/15/2010. Your registration form and payment must be postmarked no later than December 31, 2009 . All cancellations and requests for REFUNDS will be subject to a $50 administrative fee and $5/person fee and must be postmarked by January 3, 2010. No refunds will be given after that date.

Should you have any questions or need further information, please contact Caroline Cerveny, SSJ at: 727-744-4684 or c.cerveny@verizon.net

IC-FETC Registration  

IC-FETC Registration Form

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