Spring Conference Registration

Lisa Whelchel has had to cancel as our speaker for the 2012 Conference. Anita Renfroe has agreed to step in for her. You won’t want to miss this opportunity to hear Anita. She is a Christian comedian/pastor’s wife/mother of three who became a YouTube sensation with her William Tell Mom Song. Visit www.anitarenfroe.com for more information about her. The cost for the event is $35 for Friday and Saturday, or $20 for either Friday or Saturday.

Please complete the following fields.

First Name:
Last Name:
Address:
City:
State:
Zip:
Phone:
Email:
Church name:
District:	Central Ohio
	East Ohio
	Eastern Kentucky
	North Central Ohio
	Northwestern Ohio
	Southwestern Ohio
	West Virginia North
	West Virginia South
	I attend a church of another denomination.
	I attend a Church of the Nazarene from another area.
	Other
Plan 1: Fri/Sat Sessions Only	x $35 = $
Plan 2: One Sessions Only	x $20 = $
Plan 3: Women’s Aux Membership Fee, not attending event	x $5 = $
Grand Total:	$
Please list additional guest names if more than 1 attending:
Pay by:	Credit Card Online Check Online Check by Mail
Security Check Please type both words separated by a space below.