First Name:
Last Name:

Email:
Website: (Optional)

Referred by: (Optional)

Address (Line 1):
Address (Line 2):
City:   State:   ZIP:  


Hospitality Needs:

Housing:
I am willing to sleep on the floor of the church building (We do have showers!)
I am interested in the POSSIBILITY of housing with a family from a local church
(We will be in touch later to work this out...)
I will not need housing during the conference

Airport Transportation:
I will need a ride to and from the airport
I will not need a ride to and from the airport

Meals:
I would prefer non-vegetarian meals
I would prefer vegetarian meals
Other special dietary needs:


Preparatory Materials:

Please send me a copy of the following book, recommended for pre-conference reading (not included in registration price).

FARMING AS A SPIRITUAL DISCIPLINE - Ragan Sutterfield $7 (includes S/H)
XXXXXX (Sorry, sold out...) ESSENTIAL AGRARIAN READER- Norman Wirzba, ed. $17 (includes S/H)


Payment:

COST:    Includes materials, meals and housing (if needed)
Registration fees are refundable (minus a $15 administrative fee) BEFORE OCT 8.
REGULAR: $80 / person (on/before Oct 8)      $100 / person (after Oct 8)
STUDENT: $ 65 / person (on/before Oct 8) Full-time students only...
GROUP: $ 65 / person (on/before Oct 8) Groups of 10 or more people...
         Group/Contact Name:
1 DAY ONLY: $ 40 / person
HALF DAY ONLY: $ 30 / person (Includes 1 meal...)


Form of Payment:
Email me with instructions for making an online Credit Card payment ($3 processing fee )
I will be sending a check or money order.
      Please send payment -- made out to ENGLEWOOD COMMUNITY DEVELOPMENT CORP. -- PROMPTLY to:
         A ROOTED PEOPLE CONFERENCE
          Englewood Christian Church
          57 N. Rural St
          Indianapolis, IN 46201

     Payments postmarked after Oct 8 may be subject to late registration fees.




[ HOME ] [ ABOUT ] [ SPEAKERS ] [ HOSPITALITY ] [ SCHEDULE ] [ REGISTER ]