Nonrefundable $250.00 deposit due September 5, 2008

Contact:

Office of Multicultural Ministries
Louisiana Conference
527 North Blvd.
Baton Rouge, LA 70802

Dr. Martha Orphe or CindyScott@la-umc.org  225-346-1646

SENEGAL MISSION AND CONFERENCE
NOVEMBER 5-17, 2008
REGISTRATION FORM

Cost:  $3,000.00 per person dlb

Passport Name: ____________________________________________

Address: __________________________________________________

City: _____________________   State: __________   Zip: __________

Home Telephone: __________________________________________

Work Telephone: __________________________________________

Cell Telephone: ____________________________________________

Fax: _____________________________________________________

E-mail: ___________________________________________________

ACCOMMODATIONS:

November 5-, 2008 Village Guesthouses

November 10-16, 2008 Hotel Faidherbe, Dakar

              (In Conjunction with Louisiana Goree Conference Group)

Roommate Choice:___________________________

$250.00 Nonrefundable deposit per person
Due September 5, 2008
Final Payment Due:  October 15, 2008

MAKE CHECKS PAYABLE TO: Louisiana Annual Conference UMC

Return Registration Form and Payments To:
   Office of Multicultural Ministries
   Louisiana Annual Conference
   527 North Blvd.
   Baton Rouge, LA  70802

Dr. Martha Orphe or CindyScott@la-umc.org  225-346-1646

RATES ARE SUBJECT TO CHANGE.