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No More Than Three (3) Persons per Room

72 hours cancellation notice prior to your date of arrival is needed to receive room deposit refund!

Registration Fee $100.00 (By Feb 29th) Registration Fee AFTER Feb 29th - $125.00

Senior Registration $85.00 (Age 65 and older) Youth Registration $65.00 (under age 12)

Check In @ 3PM / Check out @ 12PM

Eddye H. Davis, Registrar

National Ushers Convention

First name

Last name

Address

Address (continued)

City

State

Postcode

Senior

Youth

Usher

1st Convention

Daytime telephone

Mobile telephone

E-mail address

Home Church

City

State

Banquet Selection

Can information be used for the Ushers Directory

Hotel Room Type

Contact Person

Telephone #

E-mail address

Arrival Date

Time Arrive

Departure Date

Departure time

Amount Enclosed

Online Registration

1st Night Hotel Deposit and Registration Fee included On This Form
Registration Fee INCLUDES Banquet

Complete Below For Each Person. Keep A Copy Of This Form For Your Records.

ROOM RATE: $100.00 PER NIGHT – TAX TO BE COLLECTED AT HOTEL