Preaching Practicum Online Registration

Registration fee:
$125 per participant
$75 for DBA pastor
$50 for seminary / divinity student

Fee includes all meals, refreshments, materials, and registration

 

Practicum Registration 2008
* Required
First Name *
Last Name *
 
Email Address * (For example: name@company.com)
 
Address Line 1 *
Address Line 2
City *
State *
Zip Code *
 
  Area Code Phone Number  
Home Phone
 
Mobile Phone
 
Work Phone
Ext 
 
What is the name of your church / organization / school? *
 
What is your position?  *
Pastor
Seminary / Divinity Student
Other
 
Are you a Lilly resident? *
Yes
No
 
Will you need us to book your room(s) at the Radisson? ($99 per night) *
Yes
No
 
Will you and your spouse attend dinner Monday night? *
I will attend alone
My spouse and I will both attend
I will not attend
 
Method of payment *
I will send check
bill me
 
Other comments / questions?
 
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