The Power of One Conferences

Which event are you registering for?		Senior Adult Bible Conference Sevierville Event Center Sevierille, TN October 21-24, 2008

Your Church Name:
Church Address:
City:
State:
Zip:
Pastor's Name:
Leader's Name:
Leader's Daytime Phone:
Leader's Eve. Phone:
Fax Number:
Leader's Email:

	Hotel Registration
	(Prices are based on occupancy)
How many 4 person rooms?		4 persons per room $189 each person
How many 3 person rooms?		3 persons per room $209 each person
How many 2 person rooms?		2 persons per room $259 each person
How many 1 person rooms?		1 person room $369
How many persons not staying at the hotel?		Conference Only Admission $125

Total Number Attending:
	*EARLY BIRD DISCOUNT! Receive a $20 per person discount if you are PAID IN FULL BY AUGUST 6, 2008.


Select Payment Option:	Total	Deposit	Balance
	* The amount selected above will be charged to the credit-card you provide below. You may reserve spots at the conference by paying a deposit of $50 per person. However, you must be paid in full by August 6, 2008 to receive the $20 per person discount.
	Form of Payment (1.5% surcharge for CC)
Credit Card:
Card Number:			(Enter # with no spaces) (i.e. 12345678...)
Expiration Date:			(i.e. 04/07)
	Billing Address:
Name as it appears on card:
Address:
City:
State:
Zip: