CNIA 07 WINTER ASSEMBLY
DISTRICT 54
JANUARY 18-19, 2020
HOLY FAMILY CATHOLIC CHURCH
7817 OLD AUBURN RD.
CITRUS HEIGHTS, CA. 95610
ASSEMBLY HOURS
SATURDAY JANUARY 18: (PRE-REGISTRATION 9:00 AM)
ASSEMBLY – NOON TO 10:00 PM
SUNDAY 19 JANUARY FROM 9:00 AM TO 12 PM.
PRE-REGISTRATION FORM
CONTACT: EPIGMENIO A. TEL (916) 214 3271
Jose G, (916) 969 5814
PRE-REGISTRATION
NAME:____________________ DISTRICT_______________
BADGE: (IF DIFFERENT) _____GSR____ALT GSR_____DCM_____ALT DCM
____GVR _________MEMBER______OTHER.
PHONE________ EMAIL____________________________
CNIA OFFICER__________________PAST DELEGATE/PANEL#_______________________
PRE-REGISTRATION
$15.00
_____
BOTTOMLESS COFFEE/TEA $3.00
_____
SATURDAY DINNER
$15.00
_____ PORK RIBS IN MOLE.
_____ OR PASTA SALAD.
BACK TO BASICS HOUSING
____M _____F
MAKE CHECK PAYABLE TO:
Jose Garcia
5351 47th Ave #149
SACRAMENTO CA, 95824