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MISSIONS EXPERIENCE
REGISTRATION INFORMATION

Fill out form and mail to address below.

Phone CFAN for date and accommodation availability, then complete and mail this form. A fee of $15.00 per person per day will be required to cover expenses and food for meals. The food will be purchased by our staff. Each group will have to provide their own cook.

NAME OF GROUP__________________________________________________________________________________________

NAME OF GROUP LEADER __________________________________________________________________________________

ADDRESS OF GROUP LEADER _______________________________________________________________________________

PHONE # GROUP LEADER ____________________         E-MAIL GROUP LEADER _____________________________________

NAME OF PASTOR  & CHURCH______________________________________________________________________________

CHURCH ADDRESS _______________________________________________________________________________________

 

________ ARRIVAL DATE _______ TOTAL # IN GROUP ______ # OF MARRIED COUPLES
________ ARRIVAL TIME _______ TOTAL GROUP FEE ______ # OF ADULT SINGLES
________ DEPARTURE DATE ______ # OF YOUTH FEMALES
________ DEPARTURE TIME _________ # OF YOUTH MALES
 
MINISTERIAL EXPERIENCE AND ABILITIES formal teaching, seminars, music, drama, etc.
_________________________________________________________________________________________

_________________________________________________________________________________________

MARK MINISTRY ACTIVITIES YOU ARE ABLE TO SHARE WHILE YOU ARE HERE WITH US. 
MARK "A" FOR ADULTS AND "C" FOR CHILDREN OR "A/C" FOR BOTH.

_________ MUSIC _________ DRAMA _______ DANCE
_________ PREACHING _________ TEACHING _______ INTERCESSION
_________ VACATION BIBLE SCHOOL ___________ PRAYER WALKING
OTHER:
_____________________________________________________________

CHRIST FOR ALL NATIONS
P.O. BOX 63
COUNSELOR NM 87018
PHONE: 1 (505) 568 4470
1 (505) 568-4345 
E-MAIL:
cfanlazelle@juno.com