The Presbytery of Kiskiminetas

Registration for 

The Final Report of the Peace Unity & Purity Task Group:

Reflecting and Responding with Dr. Mark Achtemeier

Lunch Registration Deadline: Tuesday,  March 21

PLEASE PROVIDE THE FOLLOWING CONTACT INFORMATION:

CHOOSE ONE:
  I am already in the Presbytery of Kiskiminetas database (true for ministers, church officers and Presbytery Committee members). If so, we only need your name and email address.

 OR:

 I am not in the Presbytery Database and will give my full contact info below
Name  
E-mail  
Please provide the information below if you are not in our database.
Street address
City
State
Zip code
Home Phone
Work Phone 
Church

Are You Making a Lunch Reservation

I will be having lunch. Cost: Included in Workshop Fee of $5.00
I will not be having lunch. I understand that the workshop fee of $5.00 still applies.

How Will You Pay Us?

I will mail my payment in  (Make check out to "Presbytery of Kiskiminetas."  Please mark PUP Event on the memo line)
 Send to Presbytery of Kiskiminetas, P.O. Box 339, Yatesboro, PA 16263)
I want to pay with paypal: use this id: payments@kiskipby.org
I will pay at the door
 

INFORMATION WE NEED TO KNOW
Please list any food allergies or other important information we should have in the box below

Tell Us About Yourself

This is my first time at a Presbytery of Kiskiminetas Enrichment Event
I have attended other Presbytery Enrichment Events
(such as Fall Enrichment, Teacher Training, Leader Training or Presbytery Day)

Thank You for Your Registration!
If you do not receive an email confirmation within 3 days, please contact us

 

 

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