Schedule | General Information

Online Registration
All Payments are processed through Paypal.

Are you registering and paying for more than one person? Yes No

Pricing After May 1
1st ($375)
2nd ($300)
3rd or more ($225 each)

Note: You will receive confirmation via email of your registration and related information upon the receipt of your registration fee.

Certified campus ministers will receive a $25 discount voucher good toward a future program. Email Chrysta Bolinger at bolinger@ccmanet.org for more information.

Are you the 1st, 2nd or 3rd registrant from your organization?
1st ($375.00)
2nd ($300.00)
3rd or more ($225.00)

Please enter a previous registrant's name:

Organization/School Information

Organization/School:
Type of School:
Population of School:	Under 5000 5-10000 10-20000 20000+
Ministry's Development Staff Size:	0-1 2-4 5-8 9+

Person 1 *All information is required.

Salutation

Mr. Mrs. Ms. Fr. Sr. Br. Dr. Prof.

First Name

Last Name:

Title

Address

City

State:

Zip

Email:

Phone

Fax:

Are you a first time attendee?
Yes
No

Are you a CCMA Member?
Yes
No

Are you a Certified Campus Minister?
Yes
No