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REGISTRATION FORM Pastors’ Conference 2012 (Please print in ink) Name ________________________________________________________________________ Address _______________________________________________________________________ City _____________________________ State _________ Zip ________________________ Phone ( ______ ) _______________ q Home q Cell q Work Phone ( ______ ) _______________ q Home q Cell q Work Email address _______________________________________________________________ Home Church ________________________________________________________________ Attendance: q I plan to attend the entire Conference. q I will only be able to attend part-time. (Contact registrar for partial camp fee schedule) Accommodations: q Cabin q Cabin (up to 8 men) q Lakeside Cabin (2-4 men) q Staff house with indoor facilities (limited availability) q Campsite (bring your own camping unit) q Drive-in (no overnight accommodations provided onsite) Fee Applied: q Early (received by May 1st) q Standard q Late (received after June 18) Enclosed: q $20 deposit on camp fee q Entire camp fee __________________
Complete this registration form and mail with camp fee to: Patti Perry, Peniel Bible Camp Registrar 103 Parkview Avenue Westerville, OH 43081-2815 * Please make all checks payable to: Peniel Bible Camp. * $20 deposit is non-refundable and non-transferable. * Returned checks are subject to a $20.00 charge. * If you register and find that you will be unable to attend, please let the registrar know as soon as possible. For more information contact the Peniel Bible Camp registrar: 614-891-2031 - registrar@obf.net |