Prison Congregations of America

Registration Form

"Come and See" Event

October 9 & 10, 2008

Sioux Falls, SD

Name
Title
Address
Town	State
Zip
Phone
Email
	Institution/Organization represented

	I want to be considered for a scholarship.
	My $125 registration fee is enclosed.
	I'm interested but these dates are not good for me. Please keep me informed of similar opportunities.
Comments

* A $25 deposit is required for registration.* Complete this form and click on submit to send to the director. NOTE: Please send your $125 registration to: Prison Congregations of America PO Box 415 Vermillion, SD 57069

Prison Congregations of America
P.O. Box 415, Vermillion, SD 57069-0415
Phone: (800) 417-6692 / (605) 624-8330 FAX: 605-624-3123
Pastor Ed Nesselhuf pastored@prisoncongregations.org