Cathedral of Deliverance Ministries
2003 Registration Form

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2003 Registration Form
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To register for this life changing conference, fill out the information below and mail it to the address at the bottom.
 
First Baptist Church Ministries
World Conference 2003
P.O. Box 679
Tylertown, MS  39667
 
Registration fee per person: $50
(Conference material and 2 meals included)
 
 
Name:                          ___________________________________________________
 
Address:                       ___________________________________________________
 
                                     ____________________________________________________
 
Telephone #:             ___________________________________________________
 
 
Check or Money Order Enclosed:________________
 
 
Special Needs:
Circle One
 
Wheelchair       Impaired Mobility       Walking Difficulty        Other___________
 
Special Assistance:
Circle one   
  
Housing               Travel                  Nursery/childcare      
 
 
Hotel Accommodations:
Please reserve your room early by calling:
  
Hawthorn Inn & Suites
1-800-527-1133
Rate: $60 per day
(Transportation will be provided to the church)
 
For More Information Contact:
Cynthia Smith
Call:  (601)876-3110
Fax:   (601)876-9921