CONGREGATIONAL FORM
Both this completed form and all completed individual applications are to be submitted by church/congregation in one package.
Sponsoring Congregation: _________________________________________________
Contact Name: __________________________________________________________
Address: _______________________________________________________________
City: ____________________________ State/Province: ______ Zip: ______________
Email: _________________________________________________________________
Phone: _________________________________________________________________
Applicant one, name:
_____________________________________________________
Applicant two, name:
_____________________________________________________
Applicant three,
name: ___________________________________________________
Applicant four,
name: ___________________________________________________
Applicant five,
name: ___________________________________________________
Total number of attendees: ________________
1 registrant $450 (Note:
These fees are non-refundable)
2 registrants $500
3 – 5 registrants $600
(Note:
These fees are non-refundable)
Total Congregation
Fees $________________
Individual Tuition
with $200 deposit postmarked before April 28, 2008 and
a balance of $465 = $665 per person
OR
$695 per person $________________
Total Fees for
Please Note: Attendee application(s) must be submitted along with this form and all payments.
A non-refundable deposit of $200 per individual is required by April 28 to receive the early registration discount.
Make checks payable
to
℅ Ingrid Holcomb
978-621-8468
Ingrid.holcomb2@verizon.net