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.
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