PRE-REGISTRATION FORM

 

Fees (in U.S. dollars):
 
Registration Fee, Regular $80.00
 
Registration Fee, Full Time Student $40.00
 
Breakfast, Wednesday June 2 $5.00
Breakfast, Thursday June 3 $5.00
Breakfast, Friday June 4 $5.00
Lunch, Wednesday June 2 $15.00
Lunch, Thursday June 3 $15.00
Dinner, Wednesday June 2 $20.00
Banquet "The Politics of Religious Liberty," Thursday June 3 $30.00
Dorm Accommodation - Night June 1 $45
Dorm Accommodation - Night June 2 $45
Dorm Accommodation - Night June 3 $45
Dorm Accommodation - Night June 4 $45
Dorm Accommodation - Night June 5 $45
(dorm is optional - see program for hotel recommendations)
Shuttle Service Card (from hotels to conference - 3 days) $30.00
 
          
Total $
 
Tickets for all meals may be pre-purchased with this registration form, or purchased at the conference at least 4 hours before the event while available. Tickets for the field trips to "Father Divine's Pennsylvania" and "The Amish of Lancaster County" may not yet be pre-purchased and should be purchased at the conference (prices to be announced).
 
 
                    Method of Payment
 
             a) Credit Card
Type of Card/Tipo di carta     VISA MasterCard EuroCard

Here are the details of my credit card for immediate on-line registration:
   Name on Card (print)
   Number
Expiration Date
Birthdate
Signature:_____________________________

b) I will mail the details of my card with a printed and signed copy of this form
c) I want to register now and am sending a printed and signed copy of this form with a cheque drawn on a U.S. bank ___

d) I want to register now and am sending a printed and signed copy of this form with details of my bank draft ___

If you did not select option (a), send payment and registration forms to:
Bryn Athyn College of the New Church, Attn: Carol Odhner
P.O. Box 740, Swedenborg Library, Bryn Athyn, PA 19009, USA
If you select option (d') send bank drafts as follows:
Name of Bank: First Union National Bank
ABA Number: 031201467
Account Name: The Academy of the New Church
Account Number: 2100010135805
Address: P.O. Box 8209, Philadelphia, PA 19101, USA

             

Programme
Practical Information


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