2017 Iowa 5-Day Academy for Spiritual Formation

*First Name
*Last Name
*Email
Contact Information
*Address (Please include PO Box or Apt. number)
*City, State, Zip
*Phone number
*Church you attend
Denomination
Registrant Information
*Clergy or Lay?
Clergy
Lay
*Gender
Male
Female
Accessibility Needs
Dietary Needs or Restrictions
*3 CEU's Requested

If yes, please select "3 CEU's ($15)" at payment.

Yes
No
Payment
Payment Options

Room & Board: $625 ($695 if received after Sept. 1, 2017) Registration includes a $100 non-refundable deposit.

Deposit Only ($100)
Registration received prior to Sept. 1 ($625)
Registration received after Sept. 1 ($695)
3 CEU's ($15)

Final payment due by Sept. 30, 2017. Please make checks payable to Conference Treasurer - Spiritual Formation. Checks can be mailed to: Iowa Annual Conference - Spiritual Formation, Attn: Courtney, 2301 Rittenhouse Street, Des Moines Iowa 50321.

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