Iowa Christian Educators Network Teachers Camp Registration



Iowa Christian Educators Network Teachers Camp May 11-15, 2008 Montour, IA

Name
Address
City		State		Zip
Phone		Email
College/University
Teaching Area
Student Teaching completed?		Yes No		If not, when?
Comments or Special Requests

Cost: $40 (half the regular cost of three days of lodging, recreational facilities and food!) Please register by April 15
Visa... Master Card ... Discover

Name On Card
Card Number (no spaces or dashes)		ex:1111222233334444
Expiration	mm/yy		3-digit code (on back of card)	Total