Printable Registration Form
King of Glory Ministries
Sons & Daughters 2006
Portland, Oregon
June 23rd and 24th
Print it out, Fill it out, Mail it in!

Mail payment with registration form to:
King of Glory Ministries
P.O.Box 65506
Vancouver, WA 98665



Name of individual or group:_______________________________________________

Address:______________________________________________________________  

City:_________________________________________________________________

State:___________________________________ Zip:_________________________

Phone:______________________________ Email:__________________________

Church Name:_________________________________________________________  

Number of Registrants: ______________

Date:__________________________


Registration Costs:

Registration - $25.00
Group discount of 25 or more people
(Before May 23)- $20.00



Your Total Registration Costs Are: $________

Method of Payment:
Check_______ MO_______ Visa_______ MC_______ Amex______ Discover______

Card Number:___________________________________________________________

Signature:________________________________________________________________

Expiration Date:__________________________________________________________

No Cancellations  
Youth Conference