Mr. Ms. Mrs.    Last Name 
First Name          (Include spouse's name if married)

Email Address 

Telephone          

Profession 

Home Church 

Request housing with a family 

Course Fee (includes lunch & dinner):
 Single - US$295
 Couple - US$495

Secure your registration with a $75 ($125 for couples) payment deductible from the total course fee.
We will invoice you for the balance payable before the course begins.

Housing:
Limited housing in church members homes.

Motels are available near course venue. We will provide information if requested. 

Payable by Check or Credit Card through our payment website. We also accept PayPal.
Once you click SUBMIT you will be taken to the secure payment webpage. 
If you prefer to pay by mail just escape out at that point.