New Faith Baptist Church International Free to Soar ‐11th Annual Women in Ministry Conference “Taking our Faith to the Extreme in 2015” ‐May 21‐24, 2015 Registration fee is $60.00 Conference fee includes conference registration, all conference materials, and conference t‐shirt (you must register by the by April 15, 2015 to ensure that you will receive a t‐shirt). Name_________________________________________________________________________________________________________ Address______________________________________________________________________________________________________ City________________________________________________State_________________________ZipCode_______________ Phone___________________________________Email___________________________________________ Church/Organization________________________________________________________________________________________ College/Seminary Students ‐ Registration $40.00 $___________ Date__________ Seniors (60+) Registration $40.00 $___________ Date_________ Camp Journey Childcare – ages 4‐13. All Day and Evening Service Includes T‐shirts and Lunch. $30.00 per child. #________ Ages _________________Total $__________. T‐ Shirt Sizes and qty. each size S ____ M____ L_____XL_____ XXL______ Method of Payment: Cash Amount $_____________ Date______________ Check Check Number_________ Date______________ Total: Credit Card Charge $: Card # Exp. Date Sec Code: Zip Code __________ Name of Cardholder: ___________________________________________________________________________ Authorized Signature___________________________________________________________________________ Please note any special needs, dietary needs, handicaps, allergies, medications administered or other medical conditions __________________________________________________________________________________ ___________________________________________________________________________________________ Rev. Dr. Trunell D. Felder, Senior Pastor Rev. Dr. Alexis L. Felder, First Lady/Conference Host
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