Crossings International Conference

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	Conference Online Registration Form October 20 - 22, 2008 Please complete the following and other sections as they apply to you: Name: First name for badge: Title: Address: City: State/Province: State/Province Alabama Alaska American Samoa Arizona Arkansas Armed Forces America Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Mariana Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington West Virginia Wisconsin Wyoming Zip Code: Email: Phone: Cell Phone: Fax: Church/Organization: Roommate Preference: Check options: Six-Step Crossings Methodology Workshop   or     The Heart of Bertram's Theology Workshop   Pre-Conference (Oct. 20 arriving evening of Oct. 19) $100.00      Pre-Conference without lodging $75.00      Conference (Oct. 21-22 arriving evening of Oct. 20) $200.00      Conference without lodging $150.00      Total: Please accept my deposit: $30.00      Balance due:     Pre-conference registration fee, based on double occupancy, includes Sunday night lodging, Monday morning continental breakfast, Monday lunch and gala reception. Conference registration fee, based on double occupancy, includes Monday and Tuesday nights lodging, 2 continental breakfasts, 2 lunches, and dinner Tuesday evening. Please indicate payment method below: Check (make payable to Crossings, indicate "conference") Paypal (go to our Paypal site, indicate "for conference")