Registration Form
Please Check one:
- Feb.28, Mar.14, 28
- February 15-17, 2009
- August 21-23, 2009
- August 24-26, 2009
- September 18-20, 2009
- October23-25, 2009
Name__________________________________________________________________
Address_______________________________________________________________
City, State____________________________________________ZIP____________
Phone (daytime)_____________________Phone(evening)____________________
Email_________________________________________________________________
Church________________________________________________________________
I would like a certificate for Continuing Education Credit: __Yes __No
REGISTRATION FEE: $200
Amount Enclosed: $________________________
Make checks payable to:
Eastern Pennsylvania Conference
(Memo: HWOR)
Mail this registration form to:
Attn: Rev. Hilda Campbell
EPAUMC
P.O. Box 820
Valley Forge, PA 19482-0820
SPECIAL NEEDS:
Every effort will be made to accomodate dietary or other special
needs listed below. Please be specific.
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
For further information, see http://www.ppjr.org/ltrain, or
contact Rev. Hilda Campbell, hilda.campbell@epaumc.org, 610-666-9090,
ext 224, or Warren Tyson, warrent@easterndistrict.org, 215-723-5513,
ext. 138.
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