Conference Registration
Number Attending:
1 - $175
2 - $145 each
3 - $125 each
4 - $125 each
5 - $125 each
6 - $125 each
7 - $125 each
8 - $125 each
9 - $125 each
10 - $125 each
Name:
Community Name:
Street:
City:
State:
Zip:
Phone:
Email:
Number of people for home stay:
0
1
2
3
4
5
6
7
8
9
10
Terms & Conditions :
50% deposit due to hold space - Full payment due before May 15, 2008 - No refunds after May 15th, 2008
Payment Type:
Check
VISA
Mastercard
Credit card number:
Expires (mm-yy):