WORKSHOP PROPOSAL NOTIFICATION (interim)
MDD 2005 - Annual Conference & Delegate Assembly
Grand Junction, CO October 7-9, 2005

This Proposal Notification is optional and must be followed up
with a Printed Application mailed to:
MDD AC 2005   Attention: Don Parsons, Co-Chair;
P.O. Box 272
Dillon, CO 80435		 Telephone: (970) 406-1341
E-Mail: parsondo@hotmail.com
hcuuf@earthlink.net

Your Name: (required)

Your Email address: (required)

Name of Contact person: (if other than above)

Contact Phone:   FAX:
Contact Email(if other than above)

Full Name of Congregation: (required)

Mailing address: (required)

City
State (required) ZIP code

Worhshop Title"

Brief Worhshop Description"

AV Equipment Needed:
Flip Charts Overhaead Projector Slide Projector
CD/Tape Player TV/VCR Microphone Other?

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