ONLINE REGISTRATION FORM
ATTENDEE INFORMATION
First Name
Last Name
 Badge Name
Phone:
 Fax:
 Cell Phone (for emergency purposes)
Address:
City:
 State:
 Zip:
Email Address:
CHURCH AFFILIATION
Name of Congregation:
Address:
City:
 State:
 Zip:
HOTEL ACCOMMODATIONS
Hotel rooms are available at the Millennium Hotel Durham from December 4th-December 6th. The hotel rate per night is $49.00 plus tax
for single/double occupancy. To book your room call 919-383-8575. Reference the Southside Church of Christ's 25th Annual Ladies
Lectureship. The deadline for this offer is November 4, 2009.
Departure Date
Arrival Date
T-SHIRT INFORMATION
Event T-shirts are not included in registration price. Please add the additional cost to your registration fee. If you require a size
that is not represented below, please add an additional $1.00 for each size above extra large.
Small - $15.00
 Medium- $15.00
 Large - $15.00
 X-Large - $16.00
 Size
BANQUET – SATURDAY, DECEMBER 5, 2009 AT 6:00PM
Please make a selection!!
I will attend
 I will not attend (will not reduce registration price)
25th Annual Ladies Lectureship
Host Congregation: Southside Church of Christ

December 4-5th, 2009
The Millennium Hotel, Durham, NC
Investment: $125.00
Includes four meals * Friday Events * Saturday Lectureship
Semi-Formal Banquet * Participant Goodie Bag
A life-changing, soul-altering experience

Please Note:
Event T-shirts are not included in the registration price
Registration Investment will increase to $150.00 after September 27, 2009.
No Personal Checks will be accepted after November 27, 2009.
Questions regarding registration?
Email us at Slimadvisory@gmail.com or call the Southside Church of Christ office at 919-688-3535 between 9:00 am and 4:00
pm EST.
To complete your registration please have credit or debit
card ready!! Note: Please indicate their name on the PayPal
form if you are paying for someone else's registration.
Click on the button to make a donation!
Lectureship Documents
To Register by mail click here to download a form.
Click here to download Flyer.