Click here for printer-friendly Registration Form
REGISTRATION FORM (due Jan. 15)
$50 per person registration – Check enclosed – Payable to Blacknall Presbyterian Church
Please give registration form with check to Rick or put it in his mail box.
DO NOT PUT IN OFFERING PLATE
Or print this form, fill it out, and mail along with check to:
Blacknall Presbyterian Church, % Rick Every, 1902 Perry Street, Durham, NC 27705
NAME___________________________________________ Amount Paid____________
ADDRESS________________________________________ Phone_________________
E-mail__________________________________________
Date of Registration____________________________
Roommate (if applicable)__________________________________________________
Contact Rick if you would like the names of any possible roommates
IMPORTANT! Please indicate:
I will be there for Friday night supper (served 6 – 7 PM only): No[ ] Yes[ ] How many?_____
I will be there for Sunday lunch: No[ ] Yes[ ] How many?_____
