|
Life
With God Conference Registration Form
Download
Printable Registration Form (116KB)
Please
complete and mail or fax to RENOVARÉ,
8 Inverness
Dr E Ste 102, Englewood, CO, 80112-5609, 303-792-0146.
Early Registration
Deadline is August 15, 2008
RENOVARÉ
Life With God Conference Registration may be
made by surface mail, fax, or online.
Individual
Regular Online Registration
Individual
Student Online Registration
Individual
Partner/Sponsor Online Registration
Group
Online Registration (5+ people registering
at the same time)
Name(s)
______________________________________________________________________________________________
Organization—if applicable _______________________________________________________________________________
Street Address & City &
State ____________________________________________________________________________
Zip/Postal
Code & Country _______________________________________________________________________________
E-mail _________________________________________
Daytime Telephone _____________-________________________
|
April
1-August 15
|
August
16-October 3
|
Total
|
|
Individual Registration
|
$99.00 per person
|
$119.00 per person
|
$ _________
|
Student
Registration
please
show ID at registration |
$79.00 per person
|
$99.00 per person
|
$
_________
|
Group
Rate per Person
when
5 or more register together |
$89.00
per person
|
$109.00
per person
|
$
_________
|
Partner/Sponsor
Rate
if
member of Partner or Sponsor |
$89.00
per person
|
$99.00
per person
|
$
_________
|
| Additional/Optional
Costs |
| Thursday
Evening, October 2, Roast and Dessert |
__
$15.00 per person
|
$
_________
|
| Contribution
to the Life With God Conference Scholarship
Fund |
$
_________
|
|
Total
=
|
$
_________
|
Please indicate if you have a disability
and need assistance. Please list needs,
including type of hearing assistance/sign
language interpretation required:
__________________________________________________________________________________________
|
Please
Make Check Payable to "RENOVARÉ"
OR Pay by Credit Card
(circle one): AMEX - Discovercard - Mastercard
- Visa
Card # ____________________________________
Exp. Date __________
Name on Card _____________________________ Signature
_________________________________
|
