
Your registration entitles you to:
· The taste fair
· Power packed classes
· Become a part of our certificate program.
· 3 certificates entitles you to 3 hours credit at CBC
· Discount on next year’s registration
· Official program booklet
------- 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 and Phone # of your Pastor: ______________________________________________
Name Phone
Registering for:
___ Classes and 1 Workshop $100.00
___ Classes and Women’s Luncheon $120.00
___ Classes and Banquet $125.00
___ Classes, Women’s Luncheon & Banquet $145.00
___ Golf Tournament $ 80.00
___ Church registers 10 or more members $ 75.00 per member
___ Youth Workshop $ 10.00 per person
___ Music Workshop $ 20.00 per person
___ Luncheon $ 25.00 per person
___ Banquet $ 30.00 per person
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
Signature ___________________________________ Date: __________
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