2019 Family Convention - Saint Mary Coptic Church, East Brunswick, NJ

1. Application

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Through the Grace of our Lord and Savior Jesus Christ, the Church would like to invite you to her 2019 Annual Family Convention. The Convention is on Friday, February 22nd, 2019 to Sunday, February 24th, 2019 at Crowne Plaza Princeton - Conference Center (Address: 900 Scudders Mill Rd, Plainsboro Township, NJ 08536)

A separate application is needed for each room.
Note: * = This is a required field

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* 1. Name

First

Last

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* 2. Home Address

Address: *

Address 2:

City/Town: *

State: *

ZIP: *

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* 3. E-mail address:

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* 4. Contact Info.

Day Phone

Evening Phone

Cell Phone

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* 5. Cell Phone Provider (will be used for text messaging, if needed)

Verizon

At&T

T-Mobile

Sprint

Nextel

Other (please specify)

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* 6. What Kind of Room do you want?

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* 7. People you are Registering for (including yourself)?

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* 8. Age/Grade

	Age/Grade
1.	1. Age/Grade menu
2.	2. Age/Grade menu
3.	3. Age/Grade menu
4.	4. Age/Grade menu
5.	5. Age/Grade menu

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* 9. If you are interested in serving, please enter name(s) and the grade/service you wish to serve below (for example, Sunday school, childcare, audio recording, registration, organization, security, etc.):

If your payment has not been received in 10 days your application will be canceled. A servant will get in touch with you to coordinate for the payment. For any questions please email: FamCon@saint-mary.net