IWS Worship Seminar June 2012
Mail-in Registration Form

To register by mail, print and complete this form. Send it along with the registration fee and additional meal fees that apply.  Mail to:

The Robert E. Webber Institute for Worship Studies

Attn. Seminar Registration

151 Kingsley Ave.

Orange Park, FL 32073 

PERSONAL INFORMATION

Name:

Street address:

City:

State and Country:

Zip:

Home Phone:

Cell Phone:

FEES

Registration fee enclosed (includes lunch on Monday and Tuesday)

      $150.00 before May 1; $175.00 after May 1 (indicate amount):

$

Additional on-campus meals fee enclosed

       (indicate amount from details below):

$

Cost for all additional meals (as listed below)—$67.00

OR, indicate the meals you will take on campus and enter the total above.

£ Saturday alumni lunch: $12.00

£ Monday breakfast: $9.00

£ Monday lunch (included in registration)

£ Monday dinner: $18.50

£ Tuesday breakfast: $9.00

£ Tuesday lunch: (included in registration)

£ Tuesday dinner: $18.50

Alumni Dinner Reception, Sunday, 8:30 p.m.
Santioni's Italian Restaurant, 3535 US 17, Fleming Island

£ Make reservation for _____ people (order from the menu)

Total amount enclosed (including registration and meals):
Make check payable to: Robert E. Webber Institute for Worship Studies

$