Congress of Christian Ed

13TH DISTRICT CONGRESS OF CHRISTIAN EDUCATION
          REGISTRATION FORM          
   


                               PLEASE TYPE AII INFORMATION
                                        

Name of Church: *
Church Address: *
Church Phone Number:
Church Fax Number:
Church Email:
Name of Pastor:
Pastor's Phone Number:
Number of Delegates:
Registration Fees:
                                                Delegates Information
1.Delegate's Name:
   Address:
   Phone Number:
   Course Number:

2.Delegate's Name:
   Address:
   Phone Number:
   Course Number

3.Delegate's Name:
   Address:
   Phone Number:
   Course Number:

4.Delegate's Name:
   Address:
   Phone Number:
   Course Number:

5.Delegate's Name:
   Address:
   Phone Number:
   Course Number:

6.Delegate's Name:
   Address:
   Phone Number:
   Course Number:

7.Delegate's Name:
   Address:
   Phone Number:
   Course Number:

8.Delegate's Name:
   Address:
   Phone Number:
   Course Number:

9.Delegate's Name:
   Address:
   Phone Number:
   Course Number:

10.Delegate's Name:
    Address:
    Phone Number:
    Course Number:

11.Delegate's Name:
    Address:
    Phone Number:
    Course Number:

12.Delegate's Name:
     Address:
     Phone Number:
     Course Number:

13.Delegate's Name:
     Address:
     Phone Number:
     Course Number:

14.Delegate's Name:
     Address:
     Phone Number:
     Course Number:

15.Delegate's Name: 
     Address:
     Phone Number:
     Course Number:

16.Delegate's Name:
     Address:
     Phone Number:
     Course Number:

17.Delegate's Name:
     Address:
     Phone Number:
     Course Number:

18.Delegate's Name:
     Address:
     Phone Number:
     Course Number:

19.Delegate's Name:
     Address:
     Phone Number:
     Course Number:

20.Delegate's Name:
     Address:
     Phone Number:
     Course Number:

 

                                        

If you have more than twenty delegates, submit form and start a new form. The only required areas are the name and address of the church.