Registration Form--Brethren Alive 2006

BRETHREN ALIVE -- 2008
Information Speakers Schedule REGISTRATION FORM Please print out and fill in this registration form completely and return it with a nonrefundable $10.00 registration fee (which will be deducted from your total bill). The balance is payable upon your arrival. Commuters do not need to send the $10.00 fee, but should still register. Your registration must reach the Denver, PA address by June 25, 2008.

Name_____________________________________

Address___________________________________

_________________________________________

Telephone _________________________________

Congregation_______________________________

List the name, age and sex of each family member registering on this form:

__________________________________________

If you have a choice of roommate please indicate:

__________________________________________

I/We plan to :

______ Stay in the dormitory ______ Commute

I/We would like a list of motels in the Elizabethtown area:

_ ______Yes _______No

Print, fill in, and return this form to


Brethren Alive 2008 155 Denver Road Denver, PA 17517

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