First Name: Last Name: Email: Address (Line 1): Address (Line 2): City:   State:   ZIP:   Hospitality Needs: Housing: I will need a place to stay during the gathering. I will not need a place to stay during the gathering. 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: Payment: COST:    Includes materials, meals and housing (if needed) REGULAR: $25 / person (on/before Feb. 13)      $75 / person (after Feb. 13) 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:          John Howard Yoder CONFERENCE           Englewood Christian Church           57 N. Rural St           Indianapolis, IN 46201      Payments postmarked after Feb. 13 may be subject to late registration fees.