REGISTRATION FORM, JULY 8-9, 2011
Daily Counseling Jesus is my Universe Little Gabriel International Evangelist
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MARRIED COUPLE Full Package $350.00
Your Name: _________________________________________ Date: |
Spouse name: _____________________________________
Date: |
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| DOB___ _____ ______ Work #______ _______________ | DOB___ ___ ___ Work # ____ ____________ | |
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Address: _____________________________________________________________ H. Phone #____ __________ Full Package: Registration $100.00 __ 2 days and 1 Night/Hotel, 1 Dinner, 1 breakfast plus Services: 250.00 / couple __ Options: Full Package__ Options 1 __ 2 __ 3 __ 1. Friday Night Banquet and Gala Night only: $150/Couple _____________ 2. Friday night Hotel/Banquet/Gala Night, NO Saturday breakfast, Conferences and Heartfelt Ceremony: $300.00/Couple 3. Saturday Conferences, Heartfelt Ceremony, Renewal of Vows and Re-consecration only: $200.00/Couple Sign here: Husband ___________________Wife ____________________ Date: |
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Single Parent and Single young Adult Options: Full package $200.00: ___ Options A __ B __ C __ 1st Single Parent/Single young adult Full Package: $200.00, Additional person/s (same room): $125.00 each |
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| Emergency Contact:
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Relation : _______ Phone #: ____ ____________________ Youth name : _____________________________________ Single Parent Name: _______________________________ Home Phone # ____ ___________Work #____ __________ Address: ________________________________________ ________________________________________________ Sign here: ______________________ Date: ___________ Your comment is very important to us. Please tell us about your experience: ______________________________________________ ______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ |
Additional Person $125.00 each __ Attach name/s, same sex please 1. ___________________________________ 2. ___________________________________ 3. ___________________________________ A. Friday: Banquet/Gala Night: $75.00/person __ B. Friday night Hotel/Banquet/Gala Night, NO Saturday breakfast, Conferences and Heartfelt Ceremony $199.00/person C. Saturday Conferences, Pitfalls to avoid, and Provisions: Enjoy life to the fullness without shame - Get prepared for your best TOMORROW only: $100/person Remember that, God loves you unconditionally. He makes provisions to better yourself. DLCMCDC FAMILY MINISTRIES is there for you! |
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Do not forget, always tell a friend about DLCMCDC Click: We love to win your heart through our testimonials
Voice: 484.461.6304, Cell: 267.679.2028, Fax: 610.723.1754 DLCMCDC © copyrights 2002 to 2011 all rights reserved Webmaster: Dr. Dan, christianministries@hotmail.com
Revised:
Tuesday February 01, 2011
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