Registration Test – Wesleyean Political Theology Project Registration 2017

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The Wesleyan Political Theology Project Conference Registration

Please register for the conference, even if you are not required to pay a fee. Seats are limited. Two meals will be included with each registration.

PLEASE FILL OUT ONE FORM PER ATTENDEE. For larger groups , please contact Taylor Brown at tbrown@wesleyseminary.edu.

Title*

(Mr., Mrs, Ms., Dr., Rev., Chaplain, etc)
Name*
First Last
Primary Email

Primary Phone*
Alternate Phone
Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Faith Background/Denomination (if applicable)

Which group best describes you?*

Professor/Academic/Teacher

Student

Clergy

WTS Alumni

Member of the public

Media

How did you hear about The Wesleyan Political Theology Project Conference? (please choose all applicable or indicate additional ways in the "Other" response box)*

Wesley Website

Social Media

UM Connection/e-Connection

VAUMC Advocate/e-Advocate

Word of mouth/academic circles

Cancellation Policy*
Cancellations must be received in writing and sent to rdanker@wesleyseminary.edu by October 12, 2017 to receive a full refund. Cancellations after October 12 through the first day of the conference will be charged a 50% cancellation fee.

Yes

No
Please choose your registration fee (per person, includes two meals) from the drop-down menu below.*
General admission: $75.00 Non-Wesley students: $35.00 Wesley faculty/current students: $0.00 Media: contact sgeorge@wesleyseminary.edu
Do you have food allergies?*

Yes (please state allergy below in "other" box, e.g. fish)

No

Total amount to be paid
$0.00
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Comments
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