Advance Registration Form for the 2004 Special Convention
Advance Registration Form
2004 Special Convention of the Antiochian Orthodox Christian Archdiocese of North America
Hosted by St. George, Pittsburgh, Pennsylvania
Hilton Pittsburgh, Gateway Center
July 16-18, 2004
Please use this form to register in advance for the 2004 Special Convention to be held in Pittsburgh, Pennsylvania from July 16 through 18, 2004.
Every person (clergy and laity) attending this Special Convention must pay a special registration fee of $20.00, and will be issued a registration badge. This registration badge will be required to enter all Convention events.
Please complete the following for each person who is registering in advance. Enclose your check for $20.00 for each person, made payable to “St. George Antiochian Orthodox Church”, and mail the check to:
St. George Antiochian Orthodox Church
Convention Advance Registration
3400 Dawson Street
Pittsburgh, PA 15213-4314.
Parish or Mission Name, and City, State or Province
Names and Home addresses of each person requesting advance registration:
Total Amount Enclosed ($20.00 x number of persons registering in advance)