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Faith & Our Environment
October 13, 2007
Pre-registration form

Andover Newton Theological School

Only use this form if you are paying by credit card.

Required fields are in bold.

If you are registering more than one person from your church on your charge card, please have their contact information ready before you begin.

Registration fee is $25 for adults nd $15 for all youth under 18 (including lunch). Pre-registration is required for lunch. Registrations received after October 3, 2007, will not be guaranteed lunch.

Pre-registration deadline is October 10, 2007. On-site registration will be available on the day of the event.

Your contact information:

First Name:

Last Name:

Address:

City:

State:

Zip:

Phone:

Email:

Affiliation:

Are you a member of the United Church of Christ?

Yes: No:

Are you under 18?

Yes: No:

Program:

Indicate the session you would like to attend. Listing of workshops is available but registration will be on the day of the conference at check-in.

9:00 AM	Welcome Worship
10:00 AM - 11:00 AM	Morning Workshops
11:00 AM - 12:00 PM	Dr. Carlos Correa-Bernier Lecture
12:00 PM - 1:00 PM	Lunch
1:00 PM - 2:00 PM	Afternoon Workshops
2:15 PM - 3:15 PM	Matthew Sleet Lecture
3:30 PM - 4:00 PM	Closing Celebration

If you are finished entering people, click here and then click the submit button.

Person 2:
First Name:
Last Name:
Address:
City:
State:	Zip:
Phone:
Email:
Is this person under 18?	Yes: No:

Person 3:
First Name:
Last Name:
Address:
City:
State:	Zip:
Phone:
Email:
Is this person under 18?	Yes: No:

Registration fee is $25 for adults, $15 for youth. Please indicate the amount you are submitting:

$
Please enter numbers, no decimals, ie: 25

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Faith & Our Environment October 13, 2007 Pre-registration form

Andover Newton Theological School

Faith & Our Environment
October 13, 2007
Pre-registration form