CFC-  Registration Form

Last Name  First Name

Spouse  Address

Telephone  Email ID  Mobile
Children's First Name and ages
1)  2)  3)  4)

Boarding :  Lunch & Dinner (Indian) - Continental Breakfast for those who are staying in DAYS INN -- 

Meals Package 1 : Thursday Dinner - Sunday lunch

                            Thur -To - Sun :- 3 Lunch (Fri, Sat, Sun), 3 Dinner (Thru, Fri, Sat)

                            Adults - $48.00 , children 5-12yrs :-$24.00     Children under 5 years - FREE

                             No. of Adults  0 12 34 56 78 9 No. of children   0 12 34 56 78 9 Total:-$

Meals Package 2 : Friday Lunch - Sunday lunch

                             Fri - Sun :-  3 Lunch (Fri, Sat, Sun), 2 Dinner (Fri, Sat)

                            Adults - $40.00 , children 5-12yrs :-$20.00      Children under 5 years - FREE

                             No. of Adults  0 12 34 56 78 9  No. of children   0 12 34 56 78 9 Total:-$

Commuter Meals :-

        Individual meals  -  Lunch/Dinner -  Adults:-$10.00, Children 5-12yrs: $5.00     Children under 5 years - FREE

        Please Mark the number of  Commuter meals in the following Table:

Dates	July 3rd		July 4th		July 5th		July 6th		Total
	Adult	Child	Adult	Child	Adult	Child	Adult	Child	Adult	Child
	N/A	N/A
Lunch	N/A	N/A	0 123456789	0 123456789	0 123456789	0 123456789	0 1 23456789	0123456789
Dinner	0123456789	0123456789	0123456789	0123456789	0123456789	0123456789	N/A	N/A

                                                                                                                     Total:-$  

Lodging :$75.00 Per night per Room. Two double beds, good for 4 adults or one King size bed.

No. of  Nights   0 1 2 3   No. of Rooms   01 23 45 67 89

Check Dates  July 3rd    July 4th   July 5th      Total :  $

Note: Caterer makes enough food to those that are pre-registered, so we encourage you all to register early.

Grand Total: (Boarding and Lodging): $ (payable to First Baptist Church, Caldwell)

Donation : $ (separate check, payable to AMG International, for Tax Deductible receipt)

(this money will be used to defray the travel, boarding, lodging  and honorariums for the speakers.)