Mail-In Registration Form

Sursum Corda 2003 will be held Sunday-Wednesday, October 5-8, 2003. A hospitality room will be open for "early arrivers" to meet and fellowship from 7-10:00 PM October 4. The location:

Divine Word International Conference Center
2001 Waukegan Road
Techny, IL 60082-0176
847-272-1100
www.svd.org/Techny.htm

This is just north of Chicago, and convenient to O'Hare Airport. The conference fee is $250 per person, which includes all sessions, single-occupancy lodging on site, and meals from Sunday evening to Wednesday lunch, October 5-8. Off-site lodging (and public transportation) are available for those who do not wish to lodge at the center. Such arrangements are the responsibility of the attendee. Ample free parking is available at the Conference Center.

You may submit payment with this form or pay when you arrive. Alas, we cannot accept credit cards at this time. Personal checks are fine.

For the moment, registrations are not being accepted on line; this form is not (yet!) a "live" Web registration system. To register, fill out the form below, then print the form on your printer. Mail the completed form to:

The American Catholic Union
c/o Bp. Samuel Bassett, Secretary
59 Washington St. #253
Santa Clara CA 95060-6138

The information submitted on this form will not be used for any purpose beyond those of the Conference, and will not be rented to any third party.

Title: First Name: Last Name:
Affiliation:
Street Address:
Address 2:
City: State: Zip/Postal Code:
Country:    
Phone: Email: Will you be staying at Divine Word?
(Yes/No):