Registration | United Church of Jesus Christ Convocation 2008

Name
Title
Address

City
State					Zip code
Country
Daytime Phone					Evening Phone
Email
Spouse Name (if attending)
Registration Category	Convocation		Adult person(s) Youth person(s)
	Youth Congress			Women of Royalty
	National Men's Conference
Registration Fees Adults: $85 per person Youth (3-17 years): $30 per person College Student (with valid ID): $30 per person
Payment Type	Credit Card Check or Cash	If paying by check, please mail completed form and payment to: United Church of Jesus Christ 5150 Baltimore National Pike Baltimore, MD 21229