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National Student Conference Registration Form How to register:

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National Student Conference Registration Form
Ministry Name
Contact Person
Email & Phone
How to register:
Registration Fees
$210 for student or non-ACM member
$195 for staff of ACM ministries
$150 for commuter eating all meals
$90 for commuter eating no meals
$265 for single bedroom
в—Џ Group attendees by four (4) per two bedroom suite in the table below - copy the form if needed
в—Џ Designate staff (M), commuters eating on campus(CE), commuters eating off campus(C), and single bedroom(S) in the designation column
в—Џ Email registration form(s) to: mark@ballstatecampushouse.org and save a copy for your records
в—Џ Remit one check for total non-refundable deposits @ $60 per person by July 1st to ACM 1411 W. Riverside Ave. Muncie IN 47303
в—Џ A $20 per person late fee will be added to registrations received after July 1.
в—Џ Call Mark Pike at 765.289.7133 (office) to pay by credit card
Last Name
First Name
University (as wanted on name tag)
Gender
Paid
Designation
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
For ACM use only Date Received:
Amount Received $
Late Fee $
Amount Due $
Reg. Fee
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