Pennsylvania Universalist Convention

First Universalist Church

52 Maple Street, Brooklyn Pa 18813

Tele.- (570) 289-4603

(570) 498-6637

October 9, &10, 2010

Registration Response Form

Yes – I/We will attend the Convention meeting

Name(s): ______

Church: ______

Telephone Number: ______

E-Mail Address: ______

Our church has/has not appointed us as delegates (Please circle)

We will arrive on the ______of Oct.; and depart on the ______of Oct.

We would like to display our Church Banner Yes ______No ______

Accommodations

Shadow Brook Inn and Resort

615 State Route 6 East

Tunkhannock, PA 18657

Holding a block of 15 Rooms

8 – Non smoking doubles

4 – Smoking doubles (ionized for non-smoking)

3 – Non smoking kings

Rate of $79.00 per night – plus taxes

Rooms held under: PA Universalist Convention/Keystone College

Reserve anytime before September 8, 2010 – (570) 836-2151 – (800) 955-0295

See attached brochure

The Hampton Inn

890 Northern Boulevard

Clarks Summit, PA 18411

Holding a block of 10 rooms

8 – Non smoking with 2 double beds

2-- nonsmoking, 2 double beds, refrig and microwave

Rate of $150.00 per night – plus taxes

Rooms held under: David Palmer – Confirmation # 81411852

See attached brochure - Reserve anytime before September 24, 2010, (570) 586-1515

Home Hospitality Offers

1 Single Female in home with another single female host

Sleeper RV – Up to 6 people

Call David Palmer at 570-498—6637 for details

We will be staying at the Shadow Brook Inn, The Hampton Inn, or Home Hospitality

(Please Circle). Reservations have been made. Yes ______or Help Needed ______

Explain ______

Schedule

Saturday, Oct. 9, 2010 – Meetings, Lunch & Dinner will be held at Keystone College, One College Green, La Plume, PA 18440

All Registrations are – 8:00-8:45 A.M. (no Friday night registrations)

Meeting - President’s Dining Room, Keystone College, LaPlume, PA – 9:00A.M.

Guest Speaker – Joyce Avila – Café’, President (See enclosed) – 11:00 A.M.

Lunch - Evans Hall, Keystone College - 12:00 P.M. Number Attending ______

Trustee Meeting – President’s Dining Room – 1:00 to 4:30 P.M.

Banquet – Evans Hall & Fireplace Lounge, Keystone College

Reception/Social Time – 6:00 P.M. Dinner – 7:00 P.M. Number Attending ______

Buffet & Hors d’oeuvres - (Vegetarian items will be included)

Cash bar will be available

Fees :

Meals - $35.00 – Includes Lunch, Dinner & Tip on Saturday

Make checks payable to: First Universalist Church of Brooklyn (PUC Fall Convention on Memo line) all reservations/payments are due by Friday, September 24, 2010

No money will be refunded after September 30, 2010

Saturday Afternoon Activities (See attached list)

We request child care Yes ______No ______

On My Own ______

Quilt Making ______

Steamtown Museum, Scranton, PA ______

Steamtown Train Ride, Scranton, PA ______

Labyrinth Walk, Montrose, PA ______

Static Chanting, Keystone College ______

Subject to change based on number of responses

Sunday Schedule

Church Service – 10:00 A.M. – First Universalist Church, Brooklyn, Pa.

Brunch – Immediately following the service – Number Attending ______

Social Hall of the Church

Donations OBO AUW appreciated

Would you appreciate a bag lunch? Yes ______No ______

Donations OBO AUW appreciated

Number of bag lunches ______