registration form for Vision for asia beyond beijing event

To register and pay by check, please fill out this form. To register online and pay with a credit card, click here.

Please mail payment by October 1, 2008 to:

Gale Kleppin 370 S. Schmale Rd. Carol Stream, IL 60188

Early Registration: $20 by September 30; couples rate $35

After September 30: $25 (couples rate $45)

Students: $15

Children two and under: free (no lunch provided)

Children 3-10 years old: $6 (includes lunch and program)

Thank you!

Fields marked * are required for submission