3rd Annual Focus on Singles Registration

Kansas City, KS   Aug. 1-4, 2007

Registration Form must be received before July 25th.

 

Name: ___________________________________        Male/Female: _________

 

Address: _________________________________________

 

            City: _____________________________ State: ______  Zip: ___________

 

            Phone: _____________________   Email: __________________________

 

Today’s Date: _____________________

 

Church: ______________________________________

 

Pastor: ______________________________________

 

Check One:                New Attendee  z                  Returning Attendee z

 

Check One:                Single z         Widowed z

 

Age Range:   20-29 z                      30-39 z                      40-49 z                      50 + z

 

Deposit Enclosed        z $20.00    Balance of $60 due at time of Registration sign in.

 

Full Registration Fee     z $70.00     (Save $10 by pre-paying - must be paid before

                                                                         June 29th. If you have to cancel for any reason,
                                                                         only $50. will be refundable)

 

z Driving      z Flying           Airline: ____________ Flight #: _______ Arrival time: ______

 

                z Renting your own car         z Would like a ride

 

            Please make money order or check payable to: Focus Ministries and mail to:

                                                            Trinity Holiness Tabernacle

                                                            Focus Ministries

                                                            PO Box 544

                                                            Goshen, IN 46527

 

Reminder:  You must call La Quinta Inn (Lenexa, KS) 1-913-492-5500 and reserve your own room as well as paying them directly when you arrive. Make sure to mention “Wyandotte Tabernacle” and ask for Krystle.  They will hold your room until 6 pm on Aug. 1st.

 

Rooms are $44.10 plus tax each night.  If you are interested in sharing a room, email Sis. Anna Johnston at kchootinannie@yahoo.com or call 913-645-7306. These rooms have two double beds, ironing board, coffee maker, and blow dryer. They also serve continental breakfast. (The motel is also 1/4 mile from Oak Park Mall)