Mighty Men of Valor

Credit Card Number

Expiration Date

Card CVV Number     What's This?

Card Holder's Name 
      (Required for online, mail in or fax registration paid by credit card)

My check is enclosed.  Check number 
(Please make check payable to: National Men's Conference.)

REGISTER BY FAX, MAIL OR PHONE:

Fax the completed registration form to:  

                717-728-0491

OR 

Mail the completed registration form to:

            National Men's Conference
            P.O. Box 90055
            Harrisburg, PA 17109

OR 

Phone:

            Call us at 1-800-773-6011

Refund Policy for Cancellations/Policy for Substitutions:
All cancellations must be in writing. Before August 31 there is a $50.00 per person fee for all cancellations. After August 31 there will be no refunds for cancellations. Your registration is transferable. However, the transfer must be in writing and there is a $25.00 fee for each transfer.