REMEMBER: Room reservations to be made directly with hotel. Hotel listing included. Please note 'Reserve By' date of each hotel.

*Church Name:
*Contact Name:

*Address:

*City:
*Zip: *Phone Number:

*Email:

(Fee is non-refundable but transferable to another person for this event.)

SPECIAL GROUP RATES FOR CHARTERED CHURCHES
*We invite you to Charter your Women's Ministries group today!*

Registration must be received in our office by September 10 to receive Quick Pass.

*Special GROUP Rates - Chartered Groups*

GROUP Registration (20 or more ladies) @ $25 per person	=	$
GROUP Registration (10 to 19 ladies) @ $30 per person	=	$
GROUP Registration ( 1 to 9 ladies ) @ $35 per person	=	$

*Other GROUP Rates - Chartered Groups*

Number of Registrations (Non-Chartered) @ $40 per person	=	$
At�the-door Registration @ $40 per person	=	$
Number of Friday or Saturday ONLY @ $20 per person	=	$

Please provide Person's information where quick passes are to be mailed.

*Name:
*Address:

*City:
*Zip:

Submitting this form will record your registration and direct you to a credit card page where you can enter the total that you are charging. Thank You!