2012 NAC Registration



Step 1





** Please make sure you add the number of attendee's before you fill out the form, it will refresh the page and clear your previously typed information if you have not!



Please list the names of all family members attending. Remember, a "family" is all immediate members living at the same address. Select the appropriate relationship.
NameRelationshipOther Relationship (if applicable)



(click to add another line)

Step 2






Complete your preferred mailing address (for all Church of God Ministries mailings), phone number, and e-mail address.

Address: *
City: *
State: *
Zip: *
Phone Number: *

(Please inlcude your area Code)
Email Address: *

Step 3






Anderson University handles all dorm room and camping reservations. Would you like us to send your name and address to them so that they can send you dorm room and camping information? All dorm room and camping inquiries should be directed to the university at 765-641-4177 or 866-316-8949.
  Yes, please send my name and address to the university so that they can send dorm room and camping information to me.



Step 4






Registration fees are listed below. Please check the appropriate fee
Fees: *
$15 Individual Registration
$25 Family Registration
Please select the appropriate registration type. An Individual Registration is for one attendeed. Groups of more attendees should select Family Registration.