GACMR

You may print this form, fill it out and mail it to the address below.

Save 25%

If you register by February 26th  , 2012!

 Attendees Regular Price 25% Discount Price

0‐150:          $ 250              $ 189

151‐300      $ 500               $ 375

301‐500      $ 750               $ 564

501+            $ 1000              $ 750

Individual    $ 7                   $ 5.25

Family           $ 15                 $ 11.25

Senior            $ 3                     $ 2.25

Church Name:

________________________________________________

Church Registration Chairperson:

_____________________________

Address

________________________

_____________________________________________________________________

Phone:

__________________

Average a.m. worship attendance (if church registering)?

 _________________

Amount Enclosed

__________________

Number of Checks

_________________

Number of Registered

___________________________

Mail To:

Georgia Christian Missionary Rally ● PO Box 649 ● Austell, GA 30106

Make Checks Payable to: "Georgia Christian Missionary Rally"