- - = = Family Ministry Conference - March 16 - 17, 2007 = =

Conference Sponsors

Lancaster Bible College
and Graduate School

Association of Marriage &
Family Ministries

Family Resource and Counseling Center

In Step Ministries

Please fill out the form below to register for the Family Ministry Conference on March 17th at Lancaster Bible College. Thank you. (Fields with a red asterix * are required fields.) Please fill out completely for each attendee if registering as a group.

First Name*: Last Name*:
Church Name*:
Position at Church*:
Church Address*:
City*: State*: Zip Code*:
Phone*: E-mail*:

I am interested in attending the evening session on Friday, March 16th with Eric and Jennifer Garcia. I understand there is an additional cost of $15.00 to cover my meal.

Seminars I am Taking: (It is recommended that you select your workshop topics early. Seating is limited, and will be filled on a first come, first served basis. Thank you).

Track #1:

Track #2:

Track #3:

Track #4:

Billing address same as above?
Billing Address*: (if Different from above)

Payment Options*:

Payment Type*:

Card Number*: Exp. Date*:
3 Number Confirmation code on back of Card*:
*I authorize House on the Rock Family Ministries to charge the amount listed above to my credit card for the purposes of registering me for the upcoming conference on March 17, 2007.