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Online Registration Form
Consistent Life 25th Anniversary Conference
March 9-11, 2012
National 4-H Youth Conference Center
Chevy Chase, Maryland, USA

For full information on the Consistent Life 25th Anniversary Conference, see the Conference Web site.

All advance registrations must be received by Tuesday, March 6, 2012. Some walk-in registrations will be available at the Conference, but please register in advance if at all possible.


$150 Standard Conference Rate
$60 Scholarship Rate (Explain Below)
Registration Fee Not Applicable (Explain Below)
Yes
No
Friday Night
Saturday Night
Additional Night(s) - please specify below
Standard Room: Single Occupancy $122 per person per night
Standard Room: Double Occupancy $61 per person per night
Bunk Rooms: 3 person room, $46 per person per night
Bunk Rooms: 4 person room, $37 per person per night
Male
Female
Saturday 3/10/12
Sunday 3/11/12
Additional Breakfast(s)
Saturday 3/10/12
Sunday 3/11/12
Additional Lunch(es)
Friday 3/9/12
Saturday 3/10/12
Additional Dinner(s)
Vegetarian (lacto-ovo)
Vegan
Other (Please Specify Under Special Dietary Needs)
No Special Diet
Will mail payment to: Registrar, Consistent Life 25th Anniversary Conference P.O. Box 9295 Silver Spring, MD 20916-9295 (Make checks payable to: Consistent Life)
Will pay online at: http://www.consistent-life.org/join.html (Note: Registration will not be considered complete until we have been notified by payment service that your payment has been received)
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