Relighting the Candles Tour Registration

Relighting the Candles Tour Registration
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number

Area CodePhone Number
Male or Female
Church Name
Pastor of Church
Church Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Church Phone Number

Area CodePhone Number
How did you hear about the trip?
Why do you want to attend the trip?
Please give a brief testimony of your salvation.
Comment or questions?
Name

First NameLast Name
Date of Birth
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Gender
Church Name
Pastor of Home Church
Church Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Church Phone Number

Area CodePhone Number
How did you hear about the trip?
Why would you like to attend the trip?
Give a brief testimony of salvation.
Comments or questions
This is a non-refundable deposit in the amount of $250 that must be submitted to hold a spot on the trip. This will go towards the total cost of the trip. Submitting the registration form below doesn’t guarantee a spot on the trip until the deposit is received.
Please send deposit by check to the address below:

Vision Baptist Missions
PO Box 442
Alpharetta, GA 30009
Make all checks payable to “Vision Baptist Missions” with “Relighting the Candles Tour” and your name in the memo line.
Should be Empty: