Registration Form

(for non-PayPal payments)

Registration Fee: $150

Please email payments@missionpastor.org if you have any questions.

Name	______________________________________________
Position	______________________________________________
Church or Agency	______________________________________________
Phone Numbers	______________________________________________
Address	______________________________________________
Email	______________________________________________

Amount Enclosed for the APMP Conference: __________________ (check payable to APMP)

______I’d like a seminary scholarship ______ I’d like a Wee Kirk Scholarship

Please send this form and a check to
APMP cc/o Mike Hotz
Christ Presbyterian Church
6901 Normandale Road
Edina, MN 55435-1599

I want a break out topic on:

__________________________________________________________________________

I want to meet the following people (from Presbyterian Center/Congregations/Other groups):

__________________________________________________________________________

I am interested in networking with people around the following country/people group/topic:

__________________________________________________________________________

Make check payable to APMP. Please retain a copy of this registration form for your records.