2018 Iowa 3-Day Academy for Spiritual Formation

*First Name
*Last Name
*Address 1
Address 2
*City
*State
*Zip
*Phone
*Email
*Gender
Local Church
Denomination
*Laity or Clergy?
Laity
Clergy
Do you have any accessibility needs?
Do you have any dietary needs, allergies, or restrictions?
*Would you like to receive 1.5 CEU? (Cost is an additional $7.50 per person)
Yes
No
*Payment Information
Deposit Only ($100)
Full Payment ($385)
Full Payment Iowa United Methodist Resident attending first Academy ($350)
1.5 CEU ($7.50)
I will mail a check
*Would you like to receive your paperwork by mail or email?
Mail
Email
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