Registration

Deadlines for registration:

• Early Bird Discount ($15 off)......................November 11, 2008
• Hotel Reservation........................................December 10, 2008
• Conference Registration.............................December 15, 2008

  Register Here Now!

*Name:    *Age: 

*Address: 

*City:  *State:  *Zip: 

*Phone: 

*Email Address: 

How many children under the age of 13 are attending with you? 

Are you paying for anyone else to register?  Yes No

If so, please list their names:  

Do you attend a college?  Yes No

Name of College: 

Church Information

Church's Name: 

Pastor's Name: 

Church Address:  

City:   State:   Zip:  

Phone: 

Service You Require: 

Please contact me by: Email Telephone 

*Registration is not complete until you make payment