Registration

Print, complete, and mail with fee(s) to: 
Eastside Vineyard Church
Women's Conference
333 Jericho Road
Pickerington OH 43147

Name: _________________________________________________
Address:________________________________________________
Phone: _________________________________________________
Email: _________________________________________________

Lunch option circle one:

Roast Beef          Turkey          Veggie          No Lunch

Please make checks payable to EVC (memo Women’s Conf. ) 1 registration per person.

Registration fee $15.00______
Lunch $10.00______
Total amount______


Please see "Hotel Details" if you would like a hotel room.
Childcare is not available for this event.