Leadership Conference 2011 Online Registration Form

Please fill out the following information as completely as possible. You will receive confirmation when we have processed your registration.

email address: Leave this field email-address blank:
Homepage: Leave this field homepage blank:
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Comment: Leave this field comment blank:

First Name*:
Last Name*:
Address*:
Phone*:
Fax:
E-Mail address:
Number of adults for this registration*:
Please list below all additional persons for this registration including First Name, Last Name, and Gender
Additional Participants:
Listed below you will find the 3 options for lodging: On Campus (multiple occupancy), Private Home or Campus (double occupancy) or Guesthouse (double occupancy). In each section indicate the number of men, women, or couples.
On Campus--Multiple Occupancy or With Students (130 Euro Per person)
Campus--Single Men:
Campus--Single Women:
Private Home/Campus (double occupancy)--(170 Euro Per Person)
Home/Campus--Men:
Home/Campus--Women:
Home/Campus--Couples:
Guesthouse (double occupancy)--(165 Euro Per Person)
Guesthouse--Men:
Guesthouse--Women:
Guesthouse--Couples:
Transportation
Arrival Date*:
Departure Date*:
I/We plan to travel by auto*:	YesNo
Train only:
Train Arrival Time in Schaffhausen:
Train Departure Time From Schaffhausen:
Any additional comments can be added below
Additional Comments:
Meeting Attendance*:	Leadership Conference Board of Trustees Meeting (by invitation only) All Faculty Meeting (by invitation only)

Please note: Conference meals from Monday supper through Thursday lunch. The dining-hall is only open on designated days during the conference week. During the conference, dorm kitchens are not available for preparing food. All meals must be taken in the dining-hall.

European Nazarene College

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Leadership Conference 2011 Online Registration Form