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Elim Fellowship Conference and Retreat Registration Statement

Names:

Email Address:

Calculate Registration Fee Total:
Number Attending

Single $330.00

Couple $555.00.

Children Attending

# X Child "Age 3-12 $112.00 each

# X Teen "Age 13-17 $225.00 each

Total Cost Make cheque payable to "Elim Fellowship"

This Registration Form and fee must reach our office prior to September 8, 2017.

Select the "Print this page" button to print this form and send it with your cheque and Retreat Registration form to our office at:

ELIM FELLOWSHIP CANADA
379 Golf Road
Brantford, Ontario N3T 5L8