MISSION HOUSE REGISTRATION FORM
Registration Form
Mission House at College of the Ozarks
Date of Arrival *
MM
/
DD
/
YYYY
Time of Arrival *
Time
:
Date of Departure *
MM
/
DD
/
YYYY
Time of Departure *
Time
:
Name *
Your answer
Ministry position *
Church, Speaker, Organization or Missionary
Your answer
Purpose for your stay *
Your answer
Address *
Your answer
Email address *
Your answer
Phone *
Your answer
Number of persons in group (Children 5 and under no charge) *
Tri County Pastors and Spouses & Immediate Family: No Charge Tri County Churches and Groups: Motel Rooms: $10 per person per night Studio Apt. $15 per person per night NON Tri County Churches and Groups: Motel rooms $25 Per person per night Studio Apt $30 per person per night
Your answer
Reason for your request or stay and any special needs requested *
Your answer
Submit
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