The Holy Spirit & the Christian Life Registration Form

Online registration is now closed. On-site registration will open from 11:00 - 13:00 on Friday, March 1 in the Robertson Hall lobby. Those who fill in the registration form but have not made payment will pay the on-site registration fee if they will attend the conference. On-site Registration: $60 (two days); $35 (one day) *Regent Students: Please use your @regent.edu or @mail.regent.edu email address for discounted price
First Name:*
Last Name:*
Mailing Address:
City:
State:
Zip/Postal Code:
Email Address:*
	Apply Regent student discount (Does not include meals)
Daytime Phone:
Questions & Comments:
Select the appropriate registration option: Standard Registration:* March 1-2, 2013 Includes Friday night dinner and Saturday breakfast and lunch $50 Friday Only March 1, 2013 Includes dinner $30 Saturday Only March 2, 2013 Includes breakfast and lunch $30 Registering Group Only (See Below)

Group Registration If you are registering a group, please enter the number of registrants for each option below. After completing the registration process, please email Vince Le within 2 days with the names of each participant. Regent Students must register separately to obtain the student discount.
	March 1-2, 2013 Includes Friday night dinner and Saturday breakfast and lunch $50
	Friday Only - March 1, 2013 Includes dinner $30
	Saturday Only - March 2, 2013 Includes breakfast and lunch $30
Group Amount Total $0 Grand Total $0
After confirming your information is accurate, click "Submit this Form." You will be taken to another form to submit your payment information.

Center for Renewal Studies