Residency in Ministry

March 2009 RIM Retreat Registration Form

Registration due February 9, 2009

First Name: Last Name:
Address (Street, City, State, Zip):
Phone (Ministry Setting): Phone (Home):
Ministry Setting:
E-Mail: Fax Number:

Registration $120
Double Room

$0

Single room* $30
Late fee (registration after February 9) $10
Total _________

*Availability will be determined in order of paid registration, based on postmark.
Roommate (make own arrangements)
Special Needs or Comment?

Make checks payable to Rocky Mountain Conference, with the notation "March 09 RIM"

Please complete, print and mail this form with your registration check to
RIM Seminar
Rocky Mountain Conference Office
6110 Greenwood Plaza Blvd.
Greenwood Village, CO 80111

Questions? Send e-mail to Debbie Hull, debdoco@msn.com.