Workshop Registration

Graduate Theology

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Anyone interested in the workshop is encouraged to register, including those not enrolled as students. Priority registration will be given to students.

If you plan on reserving a room with double occupancy, indicate the second guest's name below. Each participant must complete his or her own registration form.

Name *

Address *

City *

State *

Zip Code *

Desired Arrival Date *

Desired Departure Date *

Name of second guest?

Additional Comments

Bill To:

Billing First Name *

Billing Last Name *

Billing Address *

Billing City *

Billing State *

Billing Zip Code *

Phone *

Email *

Workshop Title *

Price *

A 3% credit card surcharge will be added to this transaction.

Workshop Date *

Do you require room accommodations? *

Yes
No

Card Number *

CVV *

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