Conference Registration Form

The Tyndale Society Conference 2004

If you have difficulty completing this form, please call 757.226.4347 for assistance.

Date:
Place:		 23-26 September 2004
Regent University, Virginia Beach, Virginia

1. Participant Information
Please note that this is how you will be indicated on your badge and the list of participants.
Last Name:
First Name:
Title:  Prof. Dr. Mr. Ms. Mrs. other:
Organization or Institution (optional):
Address:
City: State: Zip/Postal Code:
Country:
Telephone (optional):
Fax (optional):
E-Mail:


2. Conference Fee

Tyndale Society Member fee ($150)*
Non-Member fee ($200)*
Non-Regent Student fee - meals not included ($75)
Regent University Student, Faculty, or Staff (Free, but registration is required and meals are not included. To register for individual meals, please call 757.226.4347.)

Williamsburg tour including box lunch ($25)

Other Fee: $ (whole dollar amounts only, please)

Conference fees include admission to conference sessions, three continental breakfasts, two lunches, three dinners, registration materials and entrance to receptions.

* You may join NOW to receive the member's discount. Please see below.


3. Membership Options

If you would like to become a member of the Tyndale Society or renew your membership, choose from the following options:

Annual Membership:

Single: ($40)
Single with annual Reformation journal: ($60)
Joint: ($50)
Joint with annual Reformation journal: ($75)
Friend (with Reformation): ($100)

Life Membership:

Single: ($500)
Single (over age 65): ($400)
Joint: ($850)
Joint (over age 65): ($600)

If you do not wish to become a member of the Tyndale Society at this time, choose from the following options:

I would like to receive further information about Tyndale Society events and news.
I do not wish to receive further information about the Tyndale Society.


4. Accommodations

Please note that this form does NOT confirm hotel reservations. Those arrangements must be made individually through The Founders Inn. There are a limited number of rooms reserved at a special rate for those attending the conference. Please mention the Tyndale Society when making reservations. To reserve, please call 1-800-926-4466.


5. Payment
I will pay by: Credit Card (you will be directed to an online payment form)
Check (please make checks payable to "The Tyndale Society")


6. Additional Instructions

Contact: If you should have problems registering, please contact the Conference Office at jennbek@regent.edu or 757-226-4347.
Payment Information: Registration forms must be accompanied by full payment in order to be processed. Incorrect credit card numbers and declined credit are considered non payments and registration will not take place.
Refund Policy: The Conference Office should be notified of cancellations in writing. If the Conference Office receives cancellations before 1 September 2004, the total conference fee will be refunded, less 25 dollar administration costs. After 9 September 2004 no refunds will be made. Please note that refunds will only be made after the conference.
Confirmation: Please allow up to 10 days for mailed confirmation of your registration.

By submitting this registration form, I acknowledge that I commit myself to the immediate payment of the full conference fee. I have taken notice of the cancellation terms on this form.

Signature:   Date: (MM/DD/YY)



For more conference information, please click here.


Return Address:

Jennifer Bekemeier
Regent University, ADM 154
1000 Regent University Drive
Virginia Beach, Virginia 23464
Tel: 1-757-226-4347
Fax: 1-757-226-4448
E-Mail: jennbek@regent.edu