MISSION HOUSE REGISTRATION FORM
Registration Form
Date of Arrival *
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Time of Arrival *
Time
:
Date of Departure *
MM
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DD
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YYYY
Time of Departure *
Time
:
Name *
Church, Speaker, Organization or Missionary
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 $20 Per person per night Studio Apt $25 per person per night
Your answer
Comments of requested stay or special needs requested *
Your answer
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