Attendance Registration Form
Contact Ridgecrest directly for your room and meal reservations!

Registration Information:
(This is the small print so please read it!)
Note: General Conference Registration is separte from hotel & meal reservations!
*Registration Fees are Non-Refundable

Registration Fee:
POSTMARKED BY February 14, 2000: $50.00 per person OR $80.00 husband & wife
POSTMARKED AFTER February 14, 2000: $60.00 per person OR $100.00 husband & wife

The registration fees, as well as conference offerings, help to underwrite and support these conferences and the overall ministry of CBU.

[ ] Please check here if you are a REACH OUT CLUB member
[ ] Please check here if this is a NEW ADDRESS

I'm interested in volunteering for the conference I've checked my prefence below:
[ ] Registration Assistant [ ] Usher [ ] Intercessor

This registration is for: [ ] Individual [ ] Husband & Wife [ ] Intercessor

[ ] I have attended a past CBU Conference

[ ] I have a special need: __________________________________________________________________

First Name followed by last name: [Please print]
Address:
City:
State:
Zip:
Day Phone:
Night Phone:
(Each person should submit this personal information that is attending. Thank you!)

****Payment Method****

1. IF PAYING BY CHECK - MAKE CHECK PAYABLE TO CBU, US Funds ONLY
Enclosed is a check in the amount of $_____ for _____registrations.
(If registering for more than one, attach list of complete names and addresses.)

2. IF PAYING BY CREDIT CARD: $____for ______registrations.
When paying by credit card, please add $2 per person to the registration fee!
(If registering for more than one, attach list of complete names and addresses.)
Credit Card #____________________________________________
[ ] MCard [ ] Visa [ ] AmExpress Expiration Date _______________
Signature: _______________________________________

Mail this form to:
CBU Jewish Heritage
PO Box 1000
Montreat, NC 28757
OR Fax this form to: 828.669.5999

For more information, or additional brochures:
*Call 828-669-8411
*Fax 828-669-5999
*Email: ministry@cbu.org
Visit CBU's website: http://www.cbu.org