Church Media U

ONLINE SEMINAR REGISTRATION
Register one or more participants by completing and submitting the form below.

Please Note: Registration fees are non-refundable

Seminar Date: Seminar City:

Main Contact Name: Church:

Address:

City: State: Zip:

Phone: Fax:

Email:

Number of registrants attending MORNING SESSION ONLY: x $30 =

Number of registrants attending BOTH SESSIONS (ALL DAY): x $45 =

Total Registration Due:
(You will need to enter this amount on your payment form)