Mail-in Registration

If you wish to register by mail: Please fill out the form below, print & send check to:

The Rev. Dr. Jim Boston

NNECA 38 Registration

224 N.W. "D" Street

Grants Pass, OR  97526

First Name:

Last Name:

Email:

Address Line 1:

City:

State:

Zip:

Phone Number:

Diocese:

Fax Number:

NNECA member:

Special needs:

Add me to your mailing list