registration

2012

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Faithlift 2012 Registration
(print this form, fill in all information and mail)
Saturday March 24, 2012
The cost per person for the seminars including luncheon is $28.00 for registrations received by March 9, 2012
Cost for registrations received March 10th thru March 17 will be $30.00
Contributions to FAITHLIFT scholarships are welcome.
Please make checks payable to and mail to:
Pittsfield Evangelical Free Church
c/o Faithlift
389 Cheshire Road
Pittsfield, MA 01201

Registration deadline is Saturday March 17, 2012

NAME:________________________________________________________________

ADDRESS_____________________________________________________________

_________________________________ Sorry, Registration is closed. Hope to see you next year! ____________________________

CITY: _______________________________ STATE: _______ ZIP: ____________

PHONE: _____ - _______ - _______

HOME CHURCH, if any __________________________________________________

_____ Registration Fee ~~$ 28.00~~ ($30.00 after 3/09)

_____ Craft Workshop Fee $ 5.00

_____ Contribution to Scholarship Fund $ _______

_____ I need a Faithlift Scholarship

Total $ _________

Indicate 1^st and 2^nd workshop choice:

[ ] Following the Good Shepherd through the transitions of life.

[ ] Get Tri-Core Fit

[ ] Room 4 Hope

[ ] Moving Forward

[ ] DVD - Imagine

[ ] Craft: Rubber Stamping Paper Craft