2010 MCC ANNUAL MEETING

SATURDAY, JANUARY 23, 2010

ASSUMPTION COLLEGE

500 SALISBURY RD., WORCESTER, MA 15005

REGISTRATION/RESERVATION FORM

Name____________________________________________________________________________

Address__________________________________________________________________________

City__________________________________________State____________Zip_________________

Phone: Home____________________________Office_____________________________________

Denomination _____________________________________________________________________

Check one:_______Delegate    ________Friend/Guest

Number of reservations, including guests:________

Continental Breakfast and lite buffet luncheon is $20.00 per person, amount enclosed (unless cost will be covered by denomination):________

Please make checks payable to the Massachusetts Council of Churches

Return by  January 15 to:                     Massachusetts Council of Churches

                                                                    14 Beacon St., Suite 416

                     Boston, MA 02108

A timely RSVP will be greatly appreciated.