National Youth Ministry Convention 07

Group Registration Setup
A minimum of 5 members are needed to register a group and obtain the group discount

Group Contact Name
Note: all members of the group will need to quote group contact name to receive group discount

First name
Last name
Job Title
Date of Birth

e-mail
Daytime phone
Alternate phone
Fax
Mailing address
City
State
Postcode
Country

Home Church
Denomination
Church phone
Where do you work with youth?

Session 1 elective
Session 2 elective
Session 3 elective
Session 4 elective
Session 5 elective
Session 6 elective
Session 7 elective
Session 8 elective