Online Registration Form

Young Adult Worldview Conference - June 11-13, 2010

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, 2010 to MRCC, PO Box 91, McDowell, VA 24458

Make your check out to "MRCC" and indicate "Young Adult Conference"

Thank you and the Lord bless

Conference Organizer Dr. Tappey Jones.