2004 Covenant Network of Presbyterians
3 Step Conference Registration Form

Please fill out for each individual registration.

Last Minute Conference Registration - $160

Step 1 - Name and contact information

Full Name:

Name for Badge:

Mailing Address:

City: State: Zip:

Day Phone: Evening Phone:

(To save postage, we prefer to confirm your registration via email. Please rest assured, we do not share our email list with anyone. )

Email:

I am a Please Choose One Member of PC(USA) Christian Educator Deacon Elder Friend of PC(USA) Minister of the Word and Sacrament Presbytery or Synod Staff Seminarian

Title if Clergy:

Presbytery:

Congregation/Ministry affiliation:

Seminarian congregation of care:

Emergency Contact:

Emergency Phone:

First Time Attending
Attended Previously times

I plan to attend the CNYA pre-Conference gathering.

Check here to be connected to other CovNet young Adults
(seminarians and pastors forty-ish and under)

Vegetarian meals

Special Needs

Step 2 - Payment Options

If paying by check, then please click on the Register button and then print the resulting page. Please enclose it in an envelope with a check and mail to:

Covenant Network or Presbyterians
2515 Fillmore Street
San Francisco, Ca 94115

To pay by Visa or Mastercard, please click here to start the charge process - but please don't forget to click the Register button below. We need both forms!

Step 3 - Submit Your Registration

Click here to submit your registration:

Questions?
Call 415 351 2196 or send email to Rosemary Bledsoe