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Leadership Forum 2012

April 16-18, 2012


Berean National Convention 2010 Registration Form

Click here to see estimated costs for the convention.

Be sure to press submit after you complete the form.

Name(s) of person(s) attending
Address Line 1
Address Line 2
City
State
Zip
Phone
Email
Names and ages of children ages 5 and under who will be in childcare provided during the morning and evening sessions:

Hotel reservations at Embassy Suites must be made through the Berean Fellowship for tax exemption.

Date of arrival
Date of departure
Total number of nights at hotel
Number attending General Council Luncheon ($20)
Number attending Women's Luncheon ($20)

There is Conference Fee of $88 per single/couple.

The total amount due with this reservation is: $88.00

To pay by check, mail it to Berean Fellowship of Churches, PO Box 1264, Kearney NE 68848. If you prefer to pay online you will be given a link to paypal after you click the submit button.