CRM/FORM - July 16-18, 2018

(College of Regional Ministers and Forum of Regional Moderators)

Hyatt Regency Birmingham, - The Wynfrey Hotel

1000 Riverchase Galleria - BIrmingham, AL  35244

205-705-1234; 205-987-0454 (fax)

Name *
Name
Address *
Address
Cell Phone Number *
Cell Phone Number
Select One:
Please Check as appropriate
*(for Regional Ministers) I will be present for:
Please check as appropriate
**(for Regional Ministers and Moderators) Please Note: Lunch both days will be on your own. I will be present for:
Please check as appropriate
***(for Regional Ministers and Moderators)