September 24 – 26, 2015
North Jacksonville Baptist Church 8531 Main Street North, Jacksonville
PLEASE COMPLETE ONE FORM FOR EACH REGISTRANT (Please print legibly)
NAME _____________________________________________________________________________________________________
ADDRESS _________________________________________________________________________ ( ___ Home ___ Church )
CHURCH ________________________________________________________ PHONE _________________________________
EMAIL ADDRESS __________________________________________________________________________________________
CHURCH LEADERSHIP POSITION __________________________________________________________________________
TOTAL REMITTANCE: CHECK ________ CREDIT CARD _____ (Please include boxed meal in total)
CREDIT CARD INFORMATION (MasterCard/VISA only, please)
CARD # ___________________________________________________________________ EXP DATE: _________________
CARDHOLDER’S NAME: ___________________________________________________ SECURITY CODE: ___________
AMOUNT TO BE CHARGED: _____________________
Registration Form Florida Baptist Convention
524-‐629-‐3
General Registration Information
� Mail check, payable to Florida Baptist Convention. Include this form with payment and mail to: Florida Baptist Convention Music/Worship Ministries 1230 Hendricks Avenue Jacksonville, FL 32207
� FAX to 904-‐394-‐3546 with credit card or scan form and email to [email protected]. Faxed information is secure.
� No provision for childcare. � Deadline for registration – September 14th. After 9/14, an
increase of $20 per person per day will be charged. � Full refund given until September 17th.
No refund within 7 days of event. � Check-‐In/Registration begins Thursday @ 11:00 AM.
Lunch is not provided.
Meal Information Warm Plate Meal $10
(Must be paid for with registration) Please indicate which meals/how many.
____ Thursday Dinner ____ Friday Lunch ____ Friday Dinner $_________ TOTAL
_________________________________________ Ministry Wives Luncheon – Friday
NAME _________________________ $10 _____ ______________________________________________
FWCO MEMBERS – Friday Dinner is provided for you -‐ no charge. Do not sign up for it here.
Registration Fees (Per Person) Choose one from the following:
Full Conference -‐ $90 _____ Thursday Only -‐ $60 _____ Friday Only -‐ $70 _____ FWCO Rate -‐ $70 _____
Music and Worship Ministries Florida Baptist Convention 1230 Hendricks Avenue Jacksonville, FL 32207 904-‐596-‐3062, ext. 3062 / [email protected]
www.worshipexpo.org
Worship Expo 2015/2015 Registration Form 3/31/2015
Special Feature Package (See Details at www.worshipexpo.org) Choose one from the following: Silver Package ______ Gold Package ______