401 W Jefferson St. Bloomington IL, 61701
+1 309.828.6293
+1 309-213-9469

Regional Assembly 2014

The registration cost will go up on July 1st to $75.00, so be sure to register early to get a discount.
Registration ends September 1st!
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As you fill in areas of the Registration form it will expand to show additional options. Some of these fields will have prices attached to them that will automatically tally up on the total cost. The Youth fields do not have an immediate price assigned to them as the price changes based on the age of the youth. Once the youth field has expanded choose the appropriate category and continue.

Thanks for choosing to Register Online
You will have a full copy of your registration form emailed to the email address you enter into the Primary Contact Email box. If you can’t locate the email please check your spam email folder.
If you are unable to find it at all please email [email protected] and we will forward you another copy of your registration.

Pay By Check
To Pay by Check Once you reach the PayPal Page click Cancel at the bottom of the page. This will redirect you to a webpage with all the information you need to write a check to CCIW Disciples

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