VINEYARD EASTERN REGION
VINEYARD EAST REGIONAL CONFERENCE 2010
Leaning into the Future...
ONLINE REGISTRATION FORM
Name.
Please Fill in all relevant fields and click the submit button.
Spouse Name.
Address.
City.
State.
Zip.
Telephone.
Email.
Home Church.
Kids/Teens Name(s).
Age.
Grade (Fall 2010)
T-shirt size (kids only)
Child sizes:
6-8, 10-12, 14-16
Adult sizes:
S(34-36), M(38-40), L(42-44)
SENIOR PASTOR PRE-CONFERENCE - July 12th
PAYMENT INFORMATION
SUBMIT FORM
(Choose one)
INDIVIDUAL
MARRIED COUPLE
TEENAGER
CHILD
$95.00
$160.00
$85.00
$75.00
IF YOU ARE NOT PAYING ONLINE
PLEASE PRINT THIS FORM AND MAIL WITH PAYMENT TO:
Pathway Vineyard Church - PO Box 1610, Lewiston, ME 04241 - 1601
(Choose one)
Prices are for conference fees only.
Please book your accomodation directly with Split Rock Resort. 1.800.255.7625
IF YOU ARE PAYING ONLINE
PLEASE CLICK THE SUBMIT BUTTON BELOW TO CONTINUE TO PAYMENT
