Mount Vernon Nazarene University

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Thank you for making plans to join us for The Institute for Missional Engagement on Tuesday, October 15, 2024, 9:00 a.m. to 3:00 p.m. Please fill out the information below to complete your registration.

REGISTRATION
Includes lunch and materials

Qty

Description

Amount

Total

Individual Person(s)

$49.00

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Includes breakfast, lunch and materials

Deadline to register is October 8, 2024

*A $15 cancellation fee will be charged for cancellations received after October 8.

Refunds will not be available after October 8.

Total: $0.00

Attendee Information

Attendee #1:

Payer Information

First Name: *

Last Name: *

Church: *

District: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

E-mail: *

A receipt will be e-mailed to this address.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *