Registration Form – Please Print

(One form per person – Make copies as needed)

April 12, 2008 – Children’s Ministry Conference

Please include your registration fee of $50 postmarked by March 20 or $60 postmarked by April 7. 

No registrations will be taken after April 7th.  Make your check payable to CEF NYC and mail to:  Child Evangelism Fellowship, PO Box 140220, Staten Island, NY  10314-0220 

(Phone:  718-727-4313) (Fax:  718-727-1552) (E-mail: cefnyc@aol.com)

SEE REVERSE TO PAY REGISTRATION BY CREDIT CARD

Name: __________________________________________________________

Phone: (____)________________  E-MAIL:  ___________________________

ADDRESS: _______________________________________________________

CITY_____________________________STATE__________ZIP: _____________

CHURCH/ORGANIZATION: __________________________________________

LUNCH CHOICE: ______Chinese         ______Sub Sandwich

For office use only:  Registration # ____________  Amount enclosed $____________ 

 

Please fill out one registration form per person! 

 

Conference Registration Fee by Credit Card

   VISA          MasterCard               Amex          Discover

Credit Card Number: _____________________________________________________

Expiration Date: ______ /_______   CCV#______ (last 3-6 digit code on your signature strip)

Name on card: ____________________________________________________

Signature (required):_______________________________________________

Number of registrations being paid : _____________  Amount:__________________

Date: ___________________  Daytime phone #: (_____)____________________