Select Event:

October 21-24, 2003 - Frankfort, IN (Indiana Central District Campgrounds)
February 23-27, 2004 - location and site TBA
August 9-13, 2004 - location and site TBA

Planter's Name
Spouse's Name (if applicable)
Street Address 1
Street Address 2 (if applicable)
City
State/Province
Postal Code
Home Phone
Work Phone
Fax (if applicable)
Email Address
District I'm not Wesleyan Other Atlantic Central Canada Central New York Chesapeake Colorado/Nebraska Dakota Eastern New York / New England East Michigan Florida Greater Ohio Illinois Indiana Central Indiana North Indiana South Iowa/Minnesota Kansas Kentucky North Carolina East North Carolina West North Michigan Northwest Pacific Southwest Penn-Jersey Shenandoah South Carolina South Coastal Tennessee Texas-Louisiana Tri-State West Michigan Wisconsin Western New York Western Pennsylvania Sponsoring District 
and/or
Parent Church

Check one:
Planter not yet appointed
Planter already appointed, but not yet on location
Planter already appointed and on location

Contact Person from Sponsoring Agency
Contact Person's Phone

Questions/Comments