89th Session of the Southern States Primitive Baptist
Bible Conference

Theme: "Jesus' Words From the Cross"
July 9 - 12, 2007

REGISTRATION FORM

NAME________________________________________PHONE________________________

STREET______________________________________CHURCH_______________________

CITY___________________________________STATE_________ZIP___________________

E-MAIL

ADDITIONAL PEOPLE IN ROOM TEEN CHILD

(AGE) (AGE)

NAME_______________________________________ _______ _______

Church

NAME_______________________________________ _______ _______

Church

NAME_______________________________________ _______ _______

Church

ROOM AND BUILDING REQUEST__________________________________________

SPECIAL REQUESTS

Deposit Required to Reserve Room is $10.00 PER PERSON.

Payment in FULL due on or before July 1, 2007

Please make checks payable to Southern States Bible Conference

Rates (per person):                 Single             Double            Triple             Quad
Turner Lodge                         $ 381                $ 266                $ 243               $ 219
Pitts/Booth                             $ 317                $ 222                $ 196               $ 189
Robertson Inn                        $ 354                $ 243                 $ 216               $ 209

In Room with an Adult: Donation to assist elders, widows, others:

Children (3-12) $46 Amount: $

Teen $108 (in addition to your own deposit)

If for specific person, include name:

Mail This Form & Deposit or Full Payment to:

Sharon Catchings

1499 Grace Lake Circle

Longwood FL 32750

e-mail:scatchings@cfl.rr.com Phone: (407) 834-9518 Fax: (407) 834-1668

89th Session of the Southern States Primitive BaptistBible Conference

89th Session of the Southern States Primitive Baptist
Bible Conference