2010 Ladies Day Application

Name:  ____________________________________________________________

Address:  __________________________________________________________

_____________________________________________  (zip)  ________________

Phone: (    ) _________________________ Email: __________________________

Rooming Preference:  _________________________________________________

(Check One)

On-site with meals                                   □           $40.00

                *Early bird (by April 10^th)         □           $30.00

Groups of five or more                                            □             $25.00

                (by April 10^th)  Mail applications together. 

Off-site                                                     □           $15.00

($10.00 Deposit should accompany application.  Tot. Enclosed: ________________

This is non-refundable; but may be transferred.)  Balance:  ____________________

(Office use)  Date Recvd:  ____________              Cash (   )  Check # (                     )

Lodging:  ___________________________________________________________

Note:  Registration begins at 3:00 p.m. CST April 30^th.      The evening General Session will begin at 7:00 p.m.  We will conclude by 2:00 p.m. Saturday.  Mail application to Church of God of Prophecy State Office – P.O. Box 2319 – Hendersonville, TN  37077-2319   Att:  Ladies Day