Sonic Theology September 9-12, 2014

Attendee Last Name *

First Name

Address 1 *

City *

State *

Postal Code *

residential phone *

cell phone *

business phone

Email Address *

Include my contact information on lists distributed to other attendees. *

Yes

* It is important to have emergency contact information since many students travel in from all over the world. Please include your emergency contact with phone number (both home and cell), Home address information, Email address here: *

* Please note food allergies and or medications you take regularly in case of emergency. *

Do you want on site shared lodging for an additional $35.00 dollars a night? *

Cost $499.00
Checks are to be made out to 9ways. There will be a $250.00 dollar admin fee on any cancellation.

Mail to: 9ways, PO Box 42, Ottsville, Pa 18942

Signature required that you understand 9ways registration/refund policy
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