Dakota Experience

at

  Diocese of South Dakota

 Sioux Falls, SD

I would like to attend Dakota Experience, November 2-4, 2007

Name*________________________________________________________________________

Address  ______________________________________________________________________

______________________________________________________________________________

Home phone ___________________________________________________________________

Work (daytime) phone ___________________________________________________________

E-mail ___________________________________________________________

Lodging requested:       _____ Single    _____ Smoking

                                        _____ Double _____ Non-smoking    

                                        _____ No lodging needed, or I will make my own arrangements

 Special needs:__________________________________________________________________

 ______________________________________________________________________________

Registration Fee: $50.00 per person

Return form with fee to:           Diocese of South Dakota

                                                    500 S. Main Avenue

                                                    Sioux Falls, SD 57104-6814

Firm Deadline: October 15, 2007

*Spouses/friends are welcome. Please indicate name(s) of all those attending the session (or send separate registration forms) so name tags and adequate meal preparations can be made.