NORTHEASTERN CONFERENCE OF SEVENTH-DAY ADVENTISTS

44th ANNUAL PERSONAL MINISTRIES CONVENTION

CAMP VICTORY LAKE, AUGUST 31 TO SEPTEMBER 2, 2012 – REGISTRATION FORM

NOTE: Please return this form to the NEC Personal Ministries Office by August 24, 2012. There will be no refund of these fees after August 24, 2012.

1. 1.Please place an X by the name of those who require first-floor accommodations (Elderly/Disabled).
2. 2.Names of your delegates planning to attend the 44th Annual Personal Ministries Convention:

3.            AMOUNT OF MONEY ENCLOSED $_____________ (Church Check or Money Order - payable to NEC Personal Ministries).

4.            A REFUNDABLE DEPOSIT OF $20.00 FOR EACH ROOM KEY IS REQUIRED. CHECK IN FOR ROOMS IS AT IRONS MOTEL AT CAMP VICTORY LAKE: FRIDAY, AUGUST 31^st, 2012 - 3:00 p.m. – 6:30 p.m.

We will not be responsible for off-campus housing. We are encouraging you to make your own reservations early.

NAME OF PERSON REPORTING _______________________________________________           

DAYTIME TELEPHONE NUMBER (         )_______________________________________                

NAME OF CHURCH _____________________________________                                                             PLEASE RETURN TO:

NORTHEASTERN CONFERENCE PERSONAL MINISTRIES DEPT.

                       115-50 MERRICK BLVD

                        JAMAICA, N.Y. 11434

         Tel: (718) 291-8006

         Fax: (718) 739-5133

NORTHEASTERN CONFERENCE OF SEVENTH-DAY ADVENTISTS

44th ANNUAL PERSONAL MINISTRIES CONVENTION

CAMP VICTORY LAKE, AUGUST 31 TO SEPTEMBER 2, 2012 – REGISTRATION FORM

NOTE: Please return this form to the NEC Personal Ministries Office by August 24, 2012. There will be no refund of these fees after August 24, 2012.

1. 1.Please place an X by the name of those who require first-floor accommodations (Elderly/Disabled).
2. 2.Names of your delegates planning to attend the 44th Annual Personal Ministries Convention:

3.            AMOUNT OF MONEY ENCLOSED $_____________ (Church Check or Money Order - payable to NEC Personal Ministries).

4.            A REFUNDABLE DEPOSIT OF $20.00 FOR EACH ROOM KEY IS REQUIRED. CHECK IN FOR ROOMS IS AT IRONS MOTEL AT CAMP VICTORY LAKE: FRIDAY, AUGUST 31^st, 2012 - 3:00 p.m. – 6:30 p.m.

We will not be responsible for off-campus housing. We are encouraging you to make your own reservations early.

NAME OF PERSON REPORTING _______________________________________________           

DAYTIME TELEPHONE NUMBER (         )_______________________________________                

NAME OF CHURCH _____________________________________                                                             PLEASE RETURN TO:

NORTHEASTERN CONFERENCE PERSONAL MINISTRIES DEPT.

                       115-50 MERRICK BLVD

                        JAMAICA, N.Y. 11434

         Tel: (718) 291-8006

         Fax: (718) 739-5133

Prayer Revival Conference at Linden SDA Church

"Come Holy Spirit"

August 31 - September 1, 2012