August 2009 Mission Voice Page 5
REGISTRATION FORM

Missouri Conference United Methodist Women Annual Meeting
SEPTEMBER 26, 2009
First United Methodist Church
500 N. Main Street
Poplar Bluff, Missouri

Please copy this form and submit a separate form for each person attending.
Send to registrar by September 1, 2009. This form is for registration and lunch only.
Hotel reservations should be made directly.

General information can be found on the back of this form, in the “Mission Voice” UMW Conference Newsletter.

Name ________________________________________________ Phone ___________________________

Postal Mailing Address ______________________________________________________________________

E-Mail Address _____________________________ Confirmation letter will be sent by e-mail, if this blank is
completed. Those without e-mail will receive a confirmation letter in the postal mail.

Check all that apply: _______Local Unit Member _______District Member _______District Officer
_______Conference Officer (Please indicate office) ____________________________________
_______I am age 35 or under. _______This is my first time to attend a UMW Annual Meeting.

Name of Local Unit (Church) _______________________ Name of District ____________________________

Child Care will be available on site if requested. Only PRE-REGISTERED children will be accepted. Please
make notation of each child on a separate form. There is no reduction in registration fee for children. Meals for
the children are the parent’s responsibility. Please bring all items your child(ren) will need while in child care.

Registration Fee $30.00 _____________ Amount enclosed

__________ Yes, I wish to take the Friday tour to Susanna Wesley Family Learning Center

__________ Yes, I wish to attend the Friday night social ’“Chat and Chew”

Please indicate your first 3 choices of workshops (using 1, 2, 3) on Saturday afternoon. Every effort will be
made to assign you the workshops you pick. Your Confirmation Letter will indicate your workshops.

Susanna Wesley Family Learning Center’s People-Based Mission ________
Reaching Out to Everyone ________
Where Would Jesus Sit? ________
A Peek Between the Pages ________
Using the Program Book ________
Changing Lives at Camp ________
United Methodist Women, Mission Giving: Where Does the Money Go? ________


Complete registration form and mail with registration fee.

Make check payable to Missouri Conference UMW.

Mail check and registration form to registrar:
Vicki Rhew, 616 Tonya Ave, Kennett, MO 63857 573-888-5502 vickirhew@yahoo.com

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