Printable Registration Form

Christian International Ministries Network
June 4-6, 2008 - Santa Rosa Bch, FL
Prophetic Worship & Arts Conference
"Whatever!" Whatever He wants! Whatever it takes! Worship God!

Print it out, Fill it out, Mail it in!
Mail payment with registration form to:
Christian International Seminars
P.O.Box 9000
Santa Rosa Beach, FL 32459
Name:________________________________________________________________
Address:______________________________________________________________
City:_________________________________________________________________
State:___________________________________ Zip:__________________________
Phone:______________________________ Email:____________________________
Church Name:__________________________________________________________
Date:__________________________


Registration Costs:
(Please check the box that applies)

Quantity:

Cost:  
________ Single (Ages 12 and up) $125.00
_______ Youth Rate $85.00
_______ Daily Rate $45.00
Your Total Registration Costs Are: $________

Method of Payment:
Check_______ MO_______ Visa_______ MC_______ Amex______ Discover______
Card Number:_____________________________________________________________
Signature:________________________________________________________________
Expiration Date:____________________________________________________________

Cancellations:
If you cancel for any reason, your registration will be refunded minus a $25 processing fee.