The Singles Conference

Celebrate Life

Falls Creek Baptist Conference Center

October 26-28, 2007

Master Sign-up

Singles Leader:

Complete both sides of the Master Sign-up including

ALL

information requested for church and individuals.

Return your completed form along with one check made payable to: BGCO and mail to Falls Creek Singles

Conference, Attn: J. Gonzales 3800 N. May, OKC, OK 73112.

For more information contact Jodi Gonzales at 405.942.3000 ext. 4668, or email jgonzales@bgco.org. You

may register on line at www.bgco.org/singles.

Church Information

Church Name (Please include city and state):

Singles Leader ˇ s Name:

Position/Title:

Phone:

E-mail Address:

Church Mailing Address:

CityStateZip:

Please include contact information for the Singles Leader if different from above.

Mailing Address:

CityStateZip:

Phone:

E-mail Address:

Please send confirmation letter to (if different from above). If an email address is noted the

information will be sent electronically.

Name:

Mailing Address:

City, State, Zip:

Phone:

E-mail Address:

Please turn this sheet over and complete the back page of the master sign-up sheet.

---

PLEASE PRINT LEGIBLY

*Handicap transportation assistance will be available between conferences for those with a need. If requested, you must call 405.942.3000,

ext 4668 before October 3 to confirm your request.

# Attending

X $69.00 = $

Early Registration!

(Postmarked on or before October 3, 2007)

# Attending

X $64.00 = $

Registration

(Lodging will not be needed.)

# Attending

X $79.00 = $

Registration

(Postmarked after October 3, 2007)

# Attending

X

$5.00 = $

Friday night Dinner

Total Due

= $

First Name

Last Name

M/F

Address

City

State

Zip

E-mail address

Year of

Birth

Transportation