12-0413 Capstone Retreat

Registration Form - Capstone Retreat - YMLI

April 13-14, 2012 - Columbia Theological Seminary, Harrington Center
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:
Do you need seminary housing for this course?
Seminary Housing Registration

$49 plus tax per person, per night, single occupancy. $32 plus tax per person, per night, double occupancy.
Arrival date:
Departure date:
Occupancy
Name of preferred roomate
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 CTS Full Time Faculty/Staff/Basic Degree Students & Spouses
Housing Fees: By entering your housing options above, you are requesting housing reservations. By selecting a fee below, you are indicating you would like to pay for the reservations now.
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 - Capstone Retreat - YMLI