Conversations in Spanish

Please complete this form to register for the Spanish Intensive Classes being held in El Paso, Texas. For more information regarding the training, please view our website at: www.missionaryinstitute.org/conversations.html. Please make sure you click the "Submit" button at the bottom of the form once you have completed all fields. If you have problems with this form, please call Rev R Paige Mathews at 303.378.5363 or you may email him at pmathews@missionaryinstitute.org.

Name * First Last
How would you rate your current language ability in Spanish? *
Name of Organization or Congregation you Represent *
Group Discount: Will the Organization or Congregation named above be registering 3 or more individuals for the Conversations in Spanish Class?
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email *
Phone Number * ### - ### - ####
Please carefully read all of the bullets below and check those boxes that are appropriate to your registration: *
I am registering for Conversations in Spanish, August 5-11, 2012 - $685.00 (Includes language training, LanguagePlus textbook, meals, and housing) I am registering for Conversations in Spanish, January 6-12, 2013 - $685.00 (Includes language training, LanguagePlus textbook, meals, and housing) I am registering for Conversations in Spanish, August 4-10, 2013 - $685.00 (Includes language training, LanguagePlus textbook, meals, and housing) Please provide me with information regarding alternative housing in local hotels I wish to purchase the CD that accompanies the LanguagePlus textbook - $30.00 I wish to add the Jump Start program, August 4-5, 2012, to my Spanish Language Experience - $75.00 - Includes a ticket to VIVA! El Paso Note: Jump Start Program is not available for the January 6-12, 2013 Spanish Language Experience I wish to add the Jump Start program, August 3-4, 2013, to my Spanish Language Experience - $75.00 - Includes a ticket to VIVA! El Paso
Please describe any dietary restrictions you may have so that we can better anticipate your meal requirements:
Please tell us how you heard about the Conversations in Spanish program.
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