Register

All registrations must be received by May 1, 2007
If you prefer to mail in your completed form, click here to download the form.
You must have Acrobat Reader installed on your computer to download the form. Click here to get it.
Payment can be by credit card, check or money order.

Register by February 28th, 2007 to receive the special rate of $79!
Register between March 1st and May 10th and pay the regular rate of $99.
The registration fee is a NON-Refundable processing fee per person. Registration fees are the same for attending either part or all of the conference. No refunds will be given. If you are unable to attend, you may send another person in your place at no additional charge with advance notification.

Registration includes entrance to all keynote and class sessions as well as the Saturday night entertainment session. Hotel accommodations, food and parking are the responsibility of each individual.
(Note: the hotel is giving us a reduced parking rate of $15/overnight for self-parking and $5 day/rate for those not staying overnight.)

Please provide the following contact information:
(this information will not be shared with any third party and is used strictly for purposes of registration)

First Name *

Last Name *

Street Address *

Address (cont.)

City *

State *

Zip Code *

Cell Phone

Work Phone

Home Phone *

E-mail *

Date of Birth (ex. 01021980)

Gender Male Female *

Church where you attend *

*denotes required fields

Room Information

Will you be booking a room? Yes No
(by checking yes, you will be sent a reservation code via email to be used when making your reservation to receive the reduced room rate. You should make your reservation as soon as you receive the code to ensure that space is available as rooms will be filled on a first come/first serve basis.)

Please print the confirmation page after submitting this form and bring it along with a photo ID to the registration table to receive your registration packet.

First Name	*
Last Name	*
Street Address	*
Address (cont.)
City	*
State	*
Zip Code	*
Cell Phone
Work Phone
Home Phone	*
E-mail	*
Date of Birth	(ex. 01021980)
Gender	Male Female *
Church where you attend	*