Registration Form for the 2016 Conference

Registration Form for “The Emerging Christian Minority”


At Loyola University, Baltimore, MD – June 6th, 7 PM through June 8th. 12:30 PM, 2016

Register online and pay by credit card by clicking on this link or fill out the form below and mail with check to address at bottom.  Prices are per person.


_________ Program with Tuesday night banquet, without room – $260

_________ Program with Tuesday night banquet, retired clergy – $220

_________ Program with Tuesday night banquet, full-time students – $125

Rooms are available on the Loyola University campus. Each room is part of a four-room suite,
sharing two bathrooms, a common area, and a kitchenette (bring your own utensils, etc.)

_________ Dorm room: $60/night for single occupancy

_________ Dorm room: $55/night for double occupancy.

My roommate’s name is __________________

Registrations requesting a room need to be
received by May 30, 2016.

Persons in need of special assistance should contact the Center at

NAME ________________________________









I enclose a check for $________________,

payable to:


C/o Immanuel Lutheran Church
122 East 88th Street, New York, NY 10128