ITMS Conference Registration Form:

Open the Registration Form as a PDF Document

Name:        __________________________________________________________________

Address:    __________________________________________________________________

City:            ___________________________ State, Zip:   _____________________________

Phone:       _____________________        Email: ____________________________________


Registration Fees for the 2021 Online Conference:

          Conference Registration - $40.00
 

$_______


Daggy Scholarship Fund:
           Would you like to make a donation to the Daggy Youth Scholars Fund?
           Donations to the Daggy Scholarship Fund are tax deductible to the extent allowed by law.
 

 $_______


Total
(made payable to ITMS):  
 

 $_______

Please print and return this form, with check or money order, in US Dollars, made out to ITMS, to:
ITMS

Thomas Merton Center

2001 Newburg Road.

Louisville KY 40205