Print this form and send with registration fee to:
The Center for Applied Christian Ethics
Wheaton College
Wheaton, IL
60187-5593

 

Name
  
Address
  
City
  
State/Prov.
  
ZIP
  
Home Phone
  
Work Phone
  
Email
 

r I am a student interested in on-campus housing for:

r Wednesday, March 17 r Thursday, March 18

r I will need transportation from the hotel to the college.

I am registering for the following options:

r Conference

$75

r Meals (Any four meals during conference)
$30
Subtotal $

r Wheaton Alumni Discount
- $25

r Student Discount
- $50

Late reg. fee (after Mar. 5, add $20, alumni $15, students $10)

 $
Total enclosed (please do not send cash) $
Card No.
_____________________________________		 r Check
r Mastercard
r Visa

Exp. Date		 _____________

Signature
_____________________________________

Conference Home