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Greater Buelahland Fellowship
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Please complete the gray areas. |
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| Registration Type | # | $ | Total |
| Youth (29 & Under) | |||
| Adult (30 & Over | |||
| Total Cost: | |||
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| Cost for Registration: |
| Registration Deadline: June 15, 2007
Youth: $25.00 |
| Group Discounts are available as follows: |
| 25-100 Youth -
$15.00/Person 101 or more Youth -$10.00/Person 10-50 Adults - $25.00/Person Payment must be made before registration will be processed. For quicker results, mail payment and registration at the same time. |
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| Church Name: |
| Church Address: |
| Church Phone #: |
| Youth Leader Name: |
| Youth Leader Email: |
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| Select Payment Type: | |||
| Check | Money Order | ||
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| For GBF Youth Department Use Only | |||||||
| Date Received: | Payment Received: | Requested Shirt Sizes | Confirmation Sent | ||||
| GBF Signature: | |||||||
Greater
Buelahland Fellowship
Youth Ministry
P.O. Box 2254
Dorinda, Maddocha
Phone: 858.9995
Email: youthconvocation@gbfellowship.info