Register now for April 14-16, 2004
------- REGISTRATION FORM ------
You may register on-site, but space is limited and admission cannot be guaranteed.
PLEASE print this form and mail with your check. Thanks!
Type or print your name:
Check One: (_ Rev.) (_ Evan) (_ Mr.) ( Mrs.) (_ Pastor) (_ Dr.) (Other _________)
Name: ______________________________________________________________________
Last First MI
Present Address _______________________________________________________________
Number and Street City/St/Zip
Home Telephone (___) __________________ Work Phone (___) ___________________
Name and Address of your Church/Organization:
__________________________________________________________________________
Number and Street City/St/Zip
Name of your Pastor: _______________________________________________________
Individuals Registering:
| No. of People |
Registration by March 1, 2004 | Individual Cost |
Total |
| Classes | $100.00 | ||
| Golf Tournament | 90.00 | ||
Individuals Registering:
| No. of People |
Registration after March 1, 2004 | Individual Cost |
Total |
| Classes | $120.00 | ||
| Golf Tournament | 100.00 | ||
Special Registration for Churches:
| No. of People |
Registrants | Per Member |
Total |
| Church - 5 to 10 members by 3/1/04 | $ 75.00 | ||
| Church - 10 or more members by 3/1/04 | 50.00 | ||
| Church - 5 to 10 members after 3/1/04 | $ 100.00 | ||
| Church - 10 or more members after 3/1/04 | 75.00 | ||
Workshops and Banquet
| No. of People |
Registrants | Per Person |
Total |
| Youth Workshop | $ 10.00 | ||
| Musical Workshop | 20.00 | ||
| Banquet - Individuals | $ 35.00 | ||
| Banquet - Groups - 8 to a table | 280.00 |
TOTAL AMOUNT OF PAID: _______________
Paid by: __ Check __ Cash
Make checks payable to: Christian Bible College
School of Ministries
Mail to:
720 South Blvd.
Baton Rouge, LA 70802
>>>>>> Please register me in the following curriculum: (circle one)
(Pastoral Ministry) (Women and Ministry) (Church Leadership)
Course Selection:
| Wed. 4/14/04 | Thur. 4/15/04 | Friday 4/16/04 | |
| Morning | |||
| Evening |
Note: Participants registering for 2 part courses may not be allowed to enter other course selections on the remaining conference days.
Signature ___________________________________ Date: __________
Email the Registrar: Registrar@christianbiblecollege.net
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