ONLINE REGISTRATION FORM for RELIGIONS IN CONVERSATION CONFERENCE
Please provide the following contact information:
First Name Last Name Middle Initial Title Street Address Address (cont.) City State/Province Zip/Postal Code Country Home Phone E-mail
Are you a member of the Claremont Colleges? [Yes No ]
If yes, which one? Select One Claremont Graduate University Claremont School of Theology Claremont McKenna College Harvey Mudd College Keck Graduate Institute Pitzer College Pomona College Scripps College (Student Staff Faculty )
(REGISTRATION FEE WAIVED FOR CLAREMONT CONSORTIUM MEMBERS)
Please Enter your Religious Affiliation in the space provided below.
Please choose your Preferred Scripture for the Conference:
Select One Avesta Bhagavad Gita Book of Mormon Hebrew Bible New Testament Qur'an
The registration fee is $10.00 and payable on the day of the conference, or you may mail your payment to:
Religion and Culture Claremont Graduate University School of Religion 831 N. Dartmouth AveClaremont, CA 91711
PLEASE MAKE CHECKS PAYABLE TO "CGU"