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Women in Religion

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First Name:
Last Name:
Religious Affiliation:
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E-mail:
Where did you hear about the Conference?
Special requests:
Child Care Information
Scholarship Information
Continuing Education Credit Information
Full Conference Registration Includes: Opening Reception, All Speakers and Discussions, Two Dinners, and a Closing Luncheon.
REGULAR REGISTRATION - AFTER 9/10/06
Full Conference Registration – $350.00
Day One Registration – $165.00
Day Two Registration – $165.00
Day Three Registration – $85.00
Full Conference Student Registration – $150.00
Day One Student Registration – $60.00
Day Two Student Registration – $60.00
Day Three Student Registration – $50.00

OPTIONAL MEAL REGISTRATION
Optional Day 2 Breakfast – $5.00 Optional Day 1 Lunch – $12.00
Optional Day 3 Breakfast – $5.00 Optional Day 2 Lunch – $12.00

TOTAL AMOUNT: $
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Expiration Date:
Credit Card Number:
First Name
As it appears on the card
Last Name
As it appears on the card
Billing Address:
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