Conference: Registration (The Good Shepherd Institute)

Registration

CONTACT INFORMATION:

Rev. Mr. Mrs. Ms. (please type your name as you would like it to appear)

First Name Last Name

Address:

City: State: Zip:

Daytime Phone: Evening Phone:

E-mail Address:

Lenten Preaching Seminar (January 19, 2009)

Please enter the quantity number in the box (on the right) for each option you wish to register for. The total amount due will be shown in the total box below. To update your total, simply adjust the quantity number inside the appropriate box, then click outside of the box.

Lenten Preaching Workshop - $30.00 per person
M.Div. Student - FREE
TOTAL:

SUBMIT THIS FORM AND SEND PAYMENT TO:

The Good Shepherd Institute
Concordia Theological Seminary
6600 North Clinton Street
Fort Wayne, Indiana 46825-4996

*Make your check payable to Concordia Theological Seminary