2016 Midwest Lectureship Registration Form

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How To Survive The Storms Of Life

Mark 4:35-41
October 13, 2016 - October 15, 2016
DoubleTree Hotel, Bloomington, IL

Conference Registration

Description

Qty

Cost

All registrations include Conference Thursday - Saturday, Reception Thursday night, and Banquet Friday night.  If you are interested in the annual meeting luncheon on Friday, choose the Registration with Luncheon option when you sign up.

Regular Registration

March 1, 2016 - September 1, 2016

Regular Registration plus annual meeting luncheon

Mar 1-Sep 1, 2016 Registration plus meeting luncheon

Late Registration

After September 1, 2016

Late Registration plus annual meeting luncheon

After Sep 1, 2016 Registration plus meeting luncheon

Additional Banquet Tickets

Addl Banquet Ticket Adult

Additional Banquet Tickets - Adult

Addl Banquet Ticket Child

Additional Banquet Tickets - Child (under 12 years old)

Total

Grand Total:

Personal Information

E-Mail:

First Name:*

Last Name:*

Gender*

Male Female

Address Line 1:*

Address Line 2:

City:*

State:*

Zip Code:*

Phone:*

Cell Phone:

Local Congregation

Payment Information

Payment should be received before September 1, 2016.  
Mail to:
Midwest Lectureship Conference 2016 
PO Box 5572
Bloomington, IL 61702
(309) 820-1400

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