Registration for the

Indianapolis Congress of Elders

Oct. 10, 2009 9:00 – 3:30

Southport Heights Christian Church: Indianapolis

Name of Church: _____________________________________________________

Address_______________________________________________________

Phone _______________________________

Registration for:

1. Individual: Name ____________________________________________

OR

2. Leadership: How many from your congregation? ____________________

Contact Information

Minister’s Name: _______________________________

Minister’s email address: _______________________________

$15 in advance, $20 at the door. Sorry, no refunds. Includes all sessions and a catered lunch

Register On line at www.congressofelders.org or Mail TO:

Central Christian Church

1242 W 136th St., Carmel, IN 46032

Please pre-register by Oct. 5

Registration for the

Indianapolis Congress of Elders

Oct. 10, 2009 9:00 – 3:30

Southport Heights Christian Church: Indianapolis

Name of Church: _____________________________________________________

Address_______________________________________________________

Phone _______________________________

Registration for:

1. Individual: Name ____________________________________________

OR

2. Leadership: How many from your congregation? ____________________

Contact Information

Minister’s Name: _______________________________

Minister’s email address: _______________________________

$15 in advance, $20 at the door. Sorry, no refunds. Includes all sessions and a catered lunch

Register On line at www.congressofelders.org or Mail TO:

Central Christian Church

1242 W 136th St., Carmel, IN 46032

Please pre-register by Oct. 5