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CONQUERORS REGISTRATION FORM
Congregation Name:
*
Contact Name:
*
Congregation Address:
*
City:
*
State:
*
Select a State
Alabama
Alaska
All States in Mexico
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
*
E-mail:
*
Phone:
*
Additional Comments:
ATTENDANCE
Youth Attendees:
*
Adult Attendees:
*
Total Attendees:
*
For what day(s) will your group attend Conquerors?
*
Friday
Saturday
T-SHIRT SIZES
Please indicate the number of t-shirts needed for each size. All shirts are adult sizes and included in the cost of your $20 registration fee.
Small:
Medium:
Large:
Extra Large:
XX Large:
XXX Large:
HOTEL ROOMS
Will your group need hotel rooms?
*
Yes
No
How many rooms do you need to reserve?
For which nights will your group need reservations?
Thursday
Friday
Saturday
Please complete the room assignment list below by indicating the occupants of each room. If you need more rooms than allotted on this page, then you may
e-mail
or fax (850-477-2318) your room assignment list.
Room 1
Room 2
Room 3
Room 4
Room 5
Room 6
Room 7
Room 8
Room 9
Room 10
REGISTRATION FEES
$
*
Registration for Conquerors is $20 per person. Multiply the Total Number of Attendees by 20 and enter that number into the adjacent box. This is the total amount due for your registration.
$
*
Hotel rooms will cost $60 per night. Please indicate in the adjacent box the total cost of your hotel reservation based on the number of rooms you reserved and the number of nights you will be staying. This is the total amount due for your hotel reservation.
$
*
Add the above totals together and enter that number into the adjacent box. This is the total amount due for your Conquerors experience.
Please submit one check for the total amount made payable to “Scenic Hills Church of Christ” and write for Conquerors in the memo line.
Top of Page
Scenic Hills Church of Christ
1295 E. Nine Mile Road
Pensacola, Florida 32514-1654
Office
: 850-477-2114
Fax
: 850-477-2318
E-mail
:
office@scenichillschurchofchrist.org
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