JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
MI-AIM 2023 Educational Conference Registration
Please see flyer for more information. Please mail check for registration to:
MI-AIM c/o Eva Jankowske, 4350 Golden Glow Drive, Columbiaville, MI 48421
for more information click here:
Please email any questions to
miaim.vp.umc@gmail.com
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name of Registrant
*
Your answer
Birth Date (M/D)
*
Your answer
Church
*
Your answer
Church District
*
Your answer
Home Address
*
Your answer
Office Phone Number
Your answer
Cell Phone Number
*
Your answer
Emergency Contact Name
Your answer
Emergency Contact Number
Your answer
Costs & Accommodations
(please mark appropriate boxes).
Registration includes 6 meals, 2 nights lodging, educational materials, and 2024 membership
*
Regular Registration for 2023 Educational Conference - $300.00
Commuter Registration for 2023 Educational Conference - $150.00
Mi-AIM 2024 Membership ONLY (Not attending Conference) - $30.00
Special Requests:
(Food/Dietary/Mobility Restrictions)
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Michigan United Methodist Church.
Report Abuse
Forms
