Registration for the

Indianapolis Congress of Elders

Oct. 18, 2008 9:00 – 3:30

Post Road 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: _______________________________

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

Central Christian Church

1242 W 136th St., Carmel, IN 46032

Do not prepay registrations, pay at the door. Please pre-register by Oct. 13