Print and fill out this form and mail with your check by March 1, 2007

Registration and Information*

Postmark by March 1, 2007

Send To: Rhonda Buma, c/o Faith OPC, 280 red Mountain Drive, Grants Pass, Oregon 97526, (541) 479-7863 or email: faithpastor@grantspass.com

Name________________________________ Telephone______________________
Home Address________________________________________________________
____________________________________________________________________
Church Name/Address_________________________________________________
____________________________________________________________________

Enclosed is my check ($37.00 per person), payable to: "Faith OPC"___


*overnight lodging and meals are on your own (check out website for specifics)