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3rd National Witnessing Summit Registration

The document is a registration form for the 3rd National Witnessing Summit in Chicago from November 30 to December 2, 2007. It requests information such as name, organization, arrival and departure flights, roommate preferences, and emergency contact. The registration fee is $120 for the entire summit with lodging or $20 per day without lodging.

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34 views1 page

3rd National Witnessing Summit Registration

The document is a registration form for the 3rd National Witnessing Summit in Chicago from November 30 to December 2, 2007. It requests information such as name, organization, arrival and departure flights, roommate preferences, and emergency contact. The registration fee is $120 for the entire summit with lodging or $20 per day without lodging.

Uploaded by

api-3699829
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

3RD NATIONAL WITNESSING SUMMIT

Chicago, IL — November 30 through December 2, 2007


Registration Form
Please respond before Nov. 29 by email to [email protected] or by fax: 202-319-3201

Gender: Male Female 1st generation 2nd generation

Name

Honorific First Name Middle Name Last Name

Your Organization:

Your Position:

Mailing Address:
Street Name Suite No.

City State Zip Code

Office Telephone Office Fax Cell Phone

Home Telephone Email Address

Your background in witnessing to college-age young people:

Flight Arrival (Note: arrivals at airports other than O’Hare must arrange their own transportation
to and from the meeting site.)
___________________
Arrival Airport Arrival Date Arrival Time Arrival Airline and Flight #

Flight Departure
___________________
Departure Airport Departure Date Departure Time Departure Airline and Flight #

Single Room
Roommate requested: I will pay an additional $100

Emergency:
Contact Person Name Cell Phone Home Phone

Registration Fee: $120.00 for entire Summit with lodging or $20.00 per day
(or partial day) without lodging. Checks payable to HSA-UWC. Pay at Summit.

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