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 email@example.com.
I enclose a check for $________________,
C/o Immanuel Lutheran Church
122 East 88th Street, New York, NY 10128