REGISTRATTION FORM
WCG FALL RETREAT 2008

PLEASE COMPLETE REGISTRATION FORM AND RETURN THE FORM ALONG WITH YOUR PAYMENT TO:

SHARON FANNIN
P.O. BOX 716
WEST VAN LEAR, KY 41268

CONTACT NAME: __________________________________________________________________________

ADDRESS: ________________________________________________________________________________

CITY, STATE, ZIP: _________________________________________________________________________

CHURCH YOU ATTEND: _____________________________________________________________________

TOTAL NUMBER ATTENDING: ___________________

PLEASE LIST NAMES OF THOSE ATTENDING:

1. _________________________________________

2. _________________________________________

3. _________________________________________

4. _________________________________________

5. _________________________________________

TOTAL AMOUNT ENCLOSED: ___________________

PLEASE MAKE ADDITIONAL COPIES IF NEEDED...