Conference Registration for June 18, 2011

Cut and Paste the following into your word processor, print, fill out, and mail with payment to: Pacific Bible College, PO Box 4215, Medford, OR 97501.

Note: If you are unsure whether registration will reach us before beginning of conference, call Pacific Bible College at 541-776-9942 or Sandy at 541-261-1666


Name:

Address:

Phone:

Email:


Payment Enclosed (Make checks payable to Needle Rock Press)

(Circle One)

$35 Regular

$25 Full-time Student & Seniors