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

Email Address  (We can not confirm registration if it is not correct)

Telephone          

Address             
City                     
State/Prov              
Zip Code            

Profession and/or Education Background:

Name of local church   Denomination 

Do you attend regularly? 

Have you attended a tentmaking seminar? Yes     No 

Housing Request:

  I will be making my own arrangements for housing.
  Individual - in home
  Couple - in home

Course Fee:
Single - US$250    Couple - US$400   (Payable upon arrival by cheq or cash, by phone with Credit Card)