BWA registration Form - Sixth Brethren World Assembly

Name:*

Address:*

Phone:*

E-mail address:*

Name as you wish it to appear on nametag:*

Full registration includes dinner Th., Fri., Sat; lunch Fri. & Sat. and breakfast Fri. & Sat.; three ice cream socials after evening worship sessions; snacks and water on-site daily. Does not include lodging.

Registration type:*

Assembly registration ($150 early bird rate, after July 1; $175 per person)	Spouse registration ($75 early bird, $100 after July 1)	Student (high school, college, seminary) $100 before July 1; $125 thereafter	One-day registration ($50 per person until July 1, $75 thereafter)

Spouse’s name as you wish it to appear on nametag:

Bus Tours

Friday bus tour of Winona history sites ($15 per person)	Saturday bus tour of Arnold’s Grove, Camp Mack history sites ($15 per person)

Total amount due*

Payment Options:
Upon clicking Done, you will be redirected to a page that will allow you to pay via PayPal and provides instructions for other forms of payment.