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E4 2022 Registration
Association of College Ministries
July 12-15, 2022 Hotel Louisville
Complete one form for each conference attendee by May 31.
(After May 31, we will ask for a late fee)
Questions? Contact Kellar Stem at
kellarstem@gmail.com
.
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* Indicates required question
Email
*
Your answer
Name
*
Your answer
Spouse Name (If Attending)
Your answer
Ministry Name
*
Your answer
University / College
*
Your answer
Phone #
*
Your answer
List Names and Ages of any children attending with you
Your answer
Room Selection - Price includes room selection, Tuesday and Wednesday evening meals, breakfast and the conference program. Dinner on Monday and lunch is on your own.
*
1 Adult Private Room - King Bed -$250/Adult
2 Adults Single Room - King Bed - $180/Adult
2 Adults Shared Room- 2 Queen Beds- $195/Adult
Commuter - $50 for program and meals for the conference
I would like to share a room with...
Your answer
Registration
*
Room Selection (above)
$25 discount for first year serving in campus ministry
Add late fee of $25, if registration sent June 1, 2022 or after.
Dues (if not yet paid) $200 Full/main ministry or $100 Full/satellite ministry or $50 for basic listing
Required
Total cost sent to ACM (from above)
*
Your answer
Payment
*
Paying by Check - make checks payable to ACM, send to ACM c/o Kellar Stem, PO Box 5163 Evansville, IN 47716
Credit card payments -
www.aofcm.org
and choose resources: online payment
Contact Kellar Stem -
kellarstem@gmail.com
or 252.412.3535
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