Friday - Saturday, November 5-6, 2010

The Pope John Paul II Cultural Center
3900 Harewood Road, Washington, DC
Awards Banquet
Friday, November 5, 2010
Reception:  6:00PM
Dinner: 7:00PM
Bethesda Marriott
5151 Pooks Hill Road, Bethesda, MD 

CONFERENCE & BANQUET REGISTRATION FORM

Non - Members of the AMBASSADORS OF THE MOTHER CHURCH (AMC)

Register Before October 15, 2010

Conference Only                               _________ X $35       =   _____

Banquet Only                                     ________   X $100     =   _____     

Conference and Banquet                  ________   X $135     =   _____  

Students                                             ________   X $20       =   _____

Banquet reserved table for 10           ________   X $1500   =   _____

Members of the AMBASSADORS OF THE MOTHER CHURCH (AMC)

Register Before October 15, 2010

Conference Only                               _________ X $30       =   _____       

Banquet Only                                     ________   X $100     =   _____

Conference and Banquet                  ________   X $130     =   _____

Students                                             ________   X $20       =   _____

Banquet reserved table for 10           ________   X $1500   =   _____

Members and Non Members - After October 15, 2010

Conference Only                               _________ X $50       =   _____       

Banquet Only                                     ________   X $115     =   _____         

Conference and Banquet                  ________   X $150     =   _____       

Students                                             ________   X $20       =   _____

Banquet reserved table for 10           ________  X $1500    =   _____       

                                                                                                                        Total_________

Complete and mail with check to 6935 Wisconsin Avenue, Suite 518, Bethesda, MD 20815 or call 301 951 9400.   Thank you!