Registration for March Mission Madness 2012

Note: Fields marked with an asterisk (*) are required.

Group Information

Church Name
Group Leader
Address
City, State, ZIP
Email Address *
Office Phone
Mobile Phone *

Transportation information

Vehicle Type	car, van, etc.	# of Seats:
Vehicle Type		# of Seats:
Vehicle Type		# of Seats:
Vehicle Type		# of Seats:

T-shirt Information

Smalls		XLarges
Mediums		Other
Larges		Total

Location and Participants Information

Location
Number of participants

Note: Registration deadline is January 15, 2012. There is a small window for late registration until February 6, as space is available. Registrations after January 15 will incur a late charge of $10/participant.

I'd like to mail a check to CBF/GA for $90/participant

Registrations are not confirmed until payment is received.

Make checks payable to CBF of Georgia, write MMM 2012 in the memo line, and mail to
CBF/GA
Attn: Laura Foushee
PO Box 4343
Macon, GA 31208.

Number of participants	1 x $90 per participant
Total	$92.55

I'd like to pay now using PayPal

Number of participants	1 x $90 per participant
Subtotal	$90
	+ convenience fee (2.5%)
Total	$92.55

Tell a friend
For more info about CBF GA, contact Frank Broome: fbroome@cbfga.org
CBF of Georgia, POB 4343, Macon, GA 31208-4343
Ph: 478-742-1191, 1-877-336-6426
Fax: 478-742-6150, 1-877-336-6425
Copyright 2011 by Cooperative Baptist Fellowship Georgia. All right reserved.
Web design by Stone Soup Technology, LLC

Tell a friend