Women of Faith Conference Registration

2012 EVENT SIGN UP SHEET

Please fill out and return with your $25 deposit to Osceola United Methodist Church

ABOUT ME:
FULL NAME:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
PHONE:
E-MAIL:

I WANT TO REGISTER FOR:
Women of Faith 2012 Event $101
Hotel
Transportation to/from Event
ALL OF THE ABOVE

ROOMMATE(S) REQUESTS:
1)
2)
3)

SPECIAL NEEDS REQUEST:
Wheelchair or Impaired Mobility
Walking Difficulty
Sign Interpretation Needed
Spanish Translation

Special needs seating is limited. Assisted listening devices are available at the arena.
Women of Faith cannot guarantee individuals with special needs will be placed near their group, however,
every effort will be make to accommodate this request.

METHOD OF PAYMENT We can accept cash or check. Please stop by the office if you are paying with cash.
If you are paying with a check, please make it payable to OSCEOLA UMC and in the memo write WOMEN OF FAITH.
Our mailing address is Osceola UMC, 431 N. Beech Road, Osceola, IN 46561