Awards Banquest – Registration Required – North Central Region Church of God

June 24th, 2022

12:00 pm

Location at Sleep Inn & Suites. Register below. Registration required by June 1.

Name
First Last
Name of Spouse
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Number of Adults Attending
Number of Children Attening
Name Child #1
Age of child #1
Select Meal Option for Child #1
Name Child #2
Age of child #2
Select Meal Option for Child #2
Name Child #3
Age of child #3
Select Meal Option for Child #3
Name Child #4
Age of child #4
Select Meal Option for Child #4
Please check if applies:
- Senior Pastor/Spouse
- Retire Minister/Spouse
- Minister's Widow
If you did not check one of the above boxes, please include $15 payment for each you and your spouse. A $5 payment for each child is due at the time of registration.
One plus three equals?
One Adult
Price: $15.00
Two Adults
Price: $30.00
Three Adults
Price: $45.00
Four Adults
Price: $60.00
Phone
This field is for validation purposes and should be left unchanged.

Awards Banquest – Registration Required