The Reformed Catholic Church

General Synod

Joyfully Building Up The Church In Love

September 2-4, 2011

Toledo, Ohio  USA

          Name:           Date:

          Address: 

          City:          State: Country:   Phone:

                         Clergy  Seminarian  Lay Rep   RCC Member   Visitor/Guest       Diocese:

                                                                                                                                                      Parish:  

           General Synod $75    One Day for Visitor/Guest $35    Scholarship Donation        Saturday Dinner only $20

           Payment:          check or money order included      Special Dietary needs 

                                                 check or money order will be sent via US Mail

          Limited Scholarship Funds are available.

          Applying for Scholarship

           Mailing address:   The Reformed Catholic Church

                                               General Synod

                                               P. O. Box 5554   Toledo, Ohio  43613

                                                                                                                                                                                                     ****$25. 00 late fee after Aug. 24th**** 

                                                                                                                                  For More Information Contact the National Office           

                                                                                                                                                           419-517-6762  or  1-866-769-0075