Online Registration Form

Young Adult Worldview Conference - June 27-29, 2008

Please fill out the appropriate blanks and hit the Submit button at the bottom of the form.

Name:
Age
Street Address:
City:
State:
Zip:
Phone:
Email:
Home Church:


    Please send your deposit of $20 by July 1, 2008 to Rev, John Jamison, 195 Sweet Hills Dr., Amherst, VA.
    Make your check out to "MRCC" and indicate "Young Adult Worldview"
    Thank you and the Lord bless
    Conference Organizer Dr. Tappey Jones.