Online registration is preferred.
Email:.
Address:
City: State: North Carolina South Carolina Virginia West Virginia Zip:
Phone:
Church: Castanea Christ Church Christ Fellowship Church Cleveland Clover Elkton Faith Liberation Fellowship of Christ Forest Hills Hope iSight Kempsville Lake Forest Lebanon Linwood Montreat Myrtle Grove New Covenant North Grove Northhampton Overbrook Peace Perrow Reynolda Rivermont River Oaks St. Giles Threshold Trinity Village Church Warehouse 242 Westminster Woodside Retired Not Called Laboring Out Of Bounds Other
Conference Only 2 meals, no lodging or breakfast: $55.00 Full Conference Two person/room: $145/person. ($155/person after July 10) Three person/room: $120/person ($130/person after July 10) Four person/room: $105 ($115/person after July 10th)
Workshops Everything You Wanted To Know About Prophecy (2 hour course, if this option is taken, no other courses can be attended.) Or choose two workshops:
Deposit I will be paying the deposit today of $50.00 I will be paying the full amount
Roommates Roommate 1: Roommate 2: Roommate 3:
Payment I will pay by check I will pay online
Special Needs: