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Assemblies of God Northern California and Nevada District

2009 Ministers' Retreat: Registration Details

To register for the 2009 Ministers' Retreat, please complete the following form. When you click the Submit button, you will be taken to a page which will enable you to add various options to our PayPal shopping cart. If you have any problems, please don't hesitate to .(JavaScript must be enabled to view this email address).

It is very important that the details you enter here (name, street address, etc.) match the information you enter into the PayPal shopping cart on subsequent pages. This will allow us to match your registration details with your payment.

Required Information

Name (and spouse):

Church:

Street Address:

City:       State:       Zip Code:
         

Phone:

Email:

Optional Information

Please note: Banquet tickets or golf reservations will not be available for purchase after August 26th and/or during the retreat!

Banquet Reservation
Will you be attending the banquet ($15 per person)?
Yes    :  No

Number of Chicken Dinners:
Number of Salmon Dinners:

Golf Reservation
Will you be playing golf ($40 per person)?
Yes    :  No

Number of Golf Reservations:

List Each Partner On A Separate Line