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Bible and Missionary Conference
Attendance Dates
Arrival Date*:
Departure Date*:
Number of Adults*:
Number of Children Under 16*:
Nights Staying*:
Housing Options
Lakeshore Lodge, Bethany Hall, Cabins,
Campground and Cottages
Housing 1st Choice:
Housing 2nd Choice:
Campground (if applicable):
Tent
Pop-up
RV-->RV Size:
Electric & Water
Full Hookup
Conference Housing Rates (select one)
Linens provided in lodge only.
Tax will be calculated and charged with balance.
Lodge
$68 for up to 2 people
(each additional person $10) children 16 and under no charge
Bethany
$28 for up to 2 people
(each additional person $5) children 16 and under no charge
Cabins
Single unit without water $140/week
Single unit with water $170/week
Double unit with water $270/week
Campground
Tent $23/night
Camper/RV $28/night
Rates are for 4 people per site, add $2/night for each additional person
Air Conditioned Cottages
1 Bedroom (sleeps 4) $432/week
2 Bedroom (sleeps 6) $492/week
3-4 Bedroom (sleeps 8-10) $612/week
Bible & Missionary Conference Total: $
50% Housing Deposit: $
Registration &Contact Information
Registrants Name*:
Address*:
City*:
State*:
Zip*:
Home Phone*:
Mobile Phone*:
Email*:
(registration and billing confirmation email will be sent here)
Children Information
Child Name 1:
Age:
Child Name 2:
Age:
Child Name 3:
Age:
Child Name 4:
Age:
Child Name 5:
Age:
Church Information
Church Name:
Address:
City:
State:
Zip:
Agreements and Disclaimers
*I have read Beulah Beach's
Registration Policy
.
*I authorize Beulah Beach to charge my credit card for fees related to this registration.
Signature*:
05/25/2013
Discounts and Credits
Church Voucher:
Voucher Amount: $
Requirements: I acknowledge that I have a completed church voucher for the above amount in my possession. I understand that if it is not received by Beulah Beach within 7 days from the date you send this registration to Beulah Beach, my credit card will be charged the amount above and the voucher will not be honored.
Payment Information
Registration Amount:
$
This is the total amount of registration due to attend.
Discount Amount:
$
This is the total discounts & credits applied.
Total being charged now:
$
Total being charged today.
Amount Owed:
$
This amount owed AFTER this payment.
On the following page your billing information will be collected for the above stated "
Total being charged now
"
Please do NOT use the back button on your browser during the registration process