Wufoo

MAN 2 MAN 2009 Men's Conference Pre-Registration

Please complete the form below to pre-register for Men's Conference.

Name * First Last
Registration Type *
Adult Man ( 18 & above) Student (13 - 17) Student (12 & under)
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone ### - ### - ####
Email
Pastor & Church
Man 2 Man dates are June 11-13, 2009

Please complete the section below so that we man plan for your attendance.

CONFERENCE COSTS
Adult Men (18 & above): THRU APRIL 12, 2009 --$40 ----- AFTER 12, 2009---$50

Students (13 - 17): THRU APRIL 12, 2009 --- $20 ------AFTER 12, 2009---$25

STUDENTS 12 & UNDER FREE!
I will attend on: *
Thursday Only Friday Only Saturday Only Friday & Saturday Entire Conference
Have you attended Man2Man before? *
Yes No
Coments
Do Not Fill This Out