FRIENDS CONFERENCE ON RELIGION AND PSYCHOLOGY
Lebanon Valley College · Annville, PA · May 23–26, 2008

MEMBERSHIP AND REGISTRATION FORM

Name

New Member

Phone

*Do Not List

EMail

*Do Not List

Small Group 1st Choice 2nd Choice 3rd Choice

Name

New Member

Phone

*Do Not List

EMail

*Do Not List

Small Group 1st Choice 2nd Choice 3rd Choice

* If checked this item will NOT appear on the membership list
We urge you to leave this unchecked so other members may contact you

Mailing
Address

Accommodation
(Fee includes 2008 membership dues)

Number
Type

I will share a room with (name)

If you are registering for a double room and do not specify a roommate, we will select one for you

I(we) need a first-floor room (non-A/C dorm only)

Contributions

Scholarship Fund $
Conference Expenses $

Bring Own Linens

Discount per person - $15

Small Group Leader Discount



Total Due(U.S. $ only)

$

Registration Deadline: May 12

Instructions:
Fill out this form, click Calculate Total, then click Send Registration
A new web page will then open with payment options