I would like to register for this event     

I would like to attend the optional post-seminar tour from August 13-17, 2010  

I would like to nominate the following delegate to this seminar
     Person Nominating Name:

Delegate Information:

Title: Please select one Bishop Mr. Mrs. Rev. Pastor Dr.         Other:
Full Name:

Mailing Address:

Email Address:

Home Phone:  
Work Phone:  
Mobile Phone:

Denomination:              
Conference/District:     
Local congregation:       
Position in local church:

The following statistical information will be used to secure appropriate lodging: