First Name       Last Name      Title Pr. Mr. Ms. Mrs. Dr.
E-mail address
Spouse (if attending)
Congregation
Address
City      State      Zip

Participate in worship music (check if interested)
Vocal      Instrumental (type )

Conference Fees

Due to obligations to Sinsinawa, no refunds are available after Sept. 1.

Ninety single occupancy dormitory-style rooms are available at Sinsinawa Mound. Early registration is recommended.

Other lodging options can be found at www.nisynod.org/events/plc/altlodging.htm .

Registration for residents (program, meals, and housing)
$175 per person (prior to September 1)
$185 per person (after September 1)

Registration for commuters (program and meals)
$135 per person (prior to September 1)
$145 per person (after September 1)

Single-Day Registration (program and meals)
$100 per person (prior to September 1)
$110 per person (after September 1)

$30 discount for seminarians and retired professional leaders

All meals are included, but, as good stewards, please check meals that you plan to MISS:
Mon. noon, Mon. evening, Tues. morning, Tues. noon, Tues. evening, Wed morning, Wed. noon

Send check, made payable to Northern Illinois Synod, to:
Nancy Corey, Registrar, c/o Augustana College, Rock Island IL 61201-2296.

For special registration arrangements, please contact Nancy Corey, 309-794-4004.

Your online registration is not complete until your check is received in the Rock Island Synod Office.