A Seminar in Quaker Theology

First Month (January) 12-14, 2001 (King Holiday Weekend)

REGISTRATION FORM

To Register, print out this form,
And send with the appropriate fee to the address below.

Please Print:

NAME___________________________________

Address:__________________________________

______________________________ZIP ____________

Phone (include Area code):___________________

E-Mail:_______________________________

Yearly Meeting__________Monthly Meeting_______________________

REGISTRATION OPTIONS AND FEES (Check One):

1. Fulltime-Residential: $165 ______

(Includes 5 meals and two nights lodging in double room)

Indicate roommate preference if any:

________________________________________

Single Room: $225 ______

2. Fulltime-Commuter: $85 ______

(Includes 3 meals, no lodging)

3. Saturday Only-Commuter: $55 ______

(Includes 2 meals)

LATE REGISTRATION: After 12/15/2000: Add $25 ____________

TOTAL AMOUNT DUE: ____________

Make checks payable to: QUEST

Return with your payment to:

QUEST, P.O. Box 82 Bellefonte PA 16823

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