R2W 2023 "Behold His Glory" Conference RegistrationPlease enable JavaScript in your browser to complete this form.Please fill out and submit the form below and select a payment option to complete your registration.Name *FirstLastEmail *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Dropdown *LaypersonTeacher/Staff MinisterPastorHome Congregation Name, City, State *Coupon CodeIf you have been given a coupon code, please enter it here before proceeding.Do you require on-site lodging? *YesNoReturn to Wittenberg is pleased to provide accommodations to our attendees on-site at the Sparrow's Nest. These rooms are available on a first-come, first served basis. Each room sleeps at least four people. We cannot accommodate private rooms unless you book four registrations. We thank you for your understanding.Number of Conference Registrations (Non-Student w/ Room)012345678910Number of Conference Registrations (Non-Student)012345678910Number of Conference Registrations (Student w/ Room)012345678910Number of Conference Registrations (Student)012345678910Would you like to receive Holy Communion? *YesNoNote: Pastors have a duty to ensure that those who are admitted to the Altar of the Lord for Holy Communion are in a proper spiritual state to receive the Sacrament. Therefore, if you would like to receive the Sacrament, we ask that you please speak with the Pastor of Faith Lutheran at some point prior to the Closing Service. Thank you for your cooperation. Number of people communingNames of Attendees (1 per line)Total$ 0.00Would you like to pay by check? *NoYesIf you select "yes," please follow the instructions provided below.If you are paying with PayPal, submitting this form will direct you to the PayPal website to pay online. If you intend to pay by check, please contact info@returntowittenberg.org after submitting the form. Thank you!Submit Share this:FacebookRedditTwitter