12-0301 Thomas Merton and Contemplation

Registration Form - Thomas Merton and Contemplation

March 1-4, 2012 - Certificate in Spiritual Formation - Peace Presbyterian Church, Winterville, NC
Title
Full Name
First Name
Middle Initial
Last Name
Name to be used on Name Tag
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail
Phone Number

Area CodePhone Number
Phone Type
Phone Number

Area CodePhone Number
Phone Type
Church Membership
Denomination
Include my contact information on roster handout
Please let us know if you are:
Housing

There are no on-site housing facilities. Please refer to the event information page for suggested local accommodations.
Registration and Payment Options

A non-refundable, non-transferable deposit is required at the time of registration.
Course Fees: Choose the fees you would like to pay at this time. (Deposit required.)
Discounted Fees for Certificate in Spiritual Formation Graduate
Discounted Fees For CTS Full Time Faculty/Staff/Basic Degree Students & Spouses
Payment Type
Credit Card Type
Name on Credit Card
Credit Card Number
Expiration Date
Security Code
Please print a copy of this registration for your records before pressing SUBMIT.

You will receive a confirmation including a receipt within 2-3 business days.
Should be Empty:

Registration Form - Thomas Merton and Contemplation