Online Registration

*required information

 

*Name:
*Mailing Address:
*City:
*State/Province:
*ZIP/Postal Code:
*Country:
*E-Mail Address:
*E-Mail Address:
*Phone Number:
*Congregation:

Additional attenders to include with this registration (please include an e-mail address for each additional attender–staff will use the address to gather responses to the survey questions below):

Registration fees:
Rates (per person) By Oct. 1 After Oct. 1
Group Rate (3+ people)
$85
$95
Individual Registration
$110
$130
Student/Faculty Rate
$30
$35

Pay online from the registration page or mail payment by check or credit card (Visa, Mastercard, Discover or American Express— please include expiration date, card number, name on card, and signature) to:
Elaine Schmidt
Hesston College
Box 3000
Hesston, KS 67062

Call 800-995-2757 for assistance. Ask for Elaine Schmidt.
This form will be sent to elaines@hesston.edu

Top-down Servant Leadership – Anabaptist Vision and Discipleship Series