---------------------------------------- Cut off or copy and mail with payment ----------------------------------------
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Registration Information
(Registration covers 2 nights in the hotel, 4 meals and
program cost) |
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| Name: | Home Phone: | ||
| Address: | Office Phone: | ||
| E-Mail: | |||
| Spouse: (if attending) | Roommate Request: (must be requested by both parties) |
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| Children: (if attending) | |||
| Food Allergies: | |||
| Fees in US Dollars: | Prior to 2/01/09 | After 2/01/09 | |
| Single in Private Room: | $510 | $535 | |
| Shared Room: (per person) | $355 | $380 | |
| Couples: | $660 | $685 | |
| Children Under 18 yrs. Staying With Parents are complimentary | |||
| Children's Meals: 5 yrs. and younger: complimentary 6 yrs. - 12 yrs: (50% - $75 per child) | |||
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Registration Fees |
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| Pastor | $ | ||
| Spouse | $ | ||
| Children's Meals | $ | ||
| Grand Total | $ | ||
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Cancellation Policy |
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