Fall 2025 Registration Order Number Please type name(s) below as you want them to appear on your NAME TAG. Suggested registration fee of $30 per person (except children) for Conference and Regional expenses, is not required for attendance. [An offering will be received to cover the cost of those who cannot afford this fee. Please do not let finances keep you away.] NAME TAG 1 * NAME TAG 2 NAME TAG 3 NAME TAG 4 Address City State – Select Province/State – Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ZIP Phone * Email * Organization * (Ministry or Church you represent) Children needing Child Care during conference sessions. (Please list names and ages) Volunteer to assist with child care Monday – pm Tuesday – 9:30am Tuesday – 11:15am Tuesday – pm Wednesday – am MEAL RESERVATIONS (Required) Monday dinner: free, Tuesday lunch: $10. Tuesday dinner: $15. (You will be given opportunity to help defray the cost of meals) Monday Dinner (#/people) How many meals? Tuesday Lunch (#/people) How many meals? Tuesday Dinner (#/people) How many meals? Registration fee $ * Total Due ($) Total Due ($): Payment Method * Paying Online Enclosed Pay Upon Arrival Other After completing this form … go back to the Conference page to Pay Online. If by check, make payable to: NICE. Mail to PO Box 2225, Sumner, WA 98390 Questions? call NICE office: 253-826-7881 Additional Information (e.g. dietary restrictions) After submitting the form, go back to the conference web page and select Pay Online.