2009 Eastern Michigan FCM

Children's Ministry Conference

Due by March 25, 2009

 

If you want a clown name included on your name badge, please put it in parenthesis next to your name.

Name:

Street Address:

City: State: Zip:

Phone Number:   E-mail Address:

Names of other attendees: 

 

Individual

   x

$40.00

 =
Family x

$67.00

 =
       
At the Door
Individual x

$50.00

 =
Family x

$82.00

 =

Total:

Please mail to:

Elsworth West
9174 Kensington
Detroit, MI 48224