Pacific Central District—UUA
pcd@pcd-uua.org
District Assembly 2008
Apr. 25-27
eRegistration Form

Please Register by April 11!

PLEASE "cut and paste" this form into an email and send to: pcd@pcd-uua.org

• STEP ONE
Name:

Address

City:

State:

Zip:

Phone:

Email:

Congregation:

Name(s) and age(s) of Youth Registering

_____ YES, I have filled out the Youth / Children’s registration form.


• STEP TWO

Saturday Keynote Breakfast. The PCD Keynote Breakfast is held on Saturday morning. The price of the Keynote Breakfast is included in your registration fee.
However, we need to know how many people will be attending the Keynote Breakfast. Please indicate if you will be attending.

_____YES, I / we will be attending the Keynote Breakfast (please indicate how many people).

_____NO, I will not be attending the Keynote Breakfast.


• STEP THREE


Saturday Awards Lunch will be a Deli Sandwich buffet featuring: Assorted Breads and Rolls; Soup of the Day, Caesar Salad, Sliced Turkey and Ham, Sliced Cheese:
American, Swiss, and Cheddar, Tomato, Lettuce, Onion, and Pickle, Fruit Tarts, Lemonade/Coffee/Hot Tea.

The cost of lunch is $25.00 per person.

_____ YES, I want to buy a lunch (please indicate how many people).


• STEP FOUR

Saturday Evening Banquet. The Banquet is a community affair, with the Banquet Speaker and entertainment following. You need not attend the Banquet to attend the Banquet Presentation or entertainment.
Please select your menu preference below. The cost is $40.00 per person. Note: there will be a pizza party for our children and youth participants at the same time.

_____ YES, I will be attending the Saturday Evening Banquet, my menu preference is:

_____Basil Grilled Chicken (please indicate how many people).

_____ Chef’s Grilled Vegetables wrapped in Phyllo (please indicate how many people).

_____ I have the following special dietary needs:


• STEP FIVE

Now click on the PayPal link on the PCD Registration page to finalize your registration.

PLEASE make sure that your PayPal purchase form matches this registration form!