Registration Form

Shiloh Baptist Church

Christian Fellowship Weekend

July 16 – 18, 2004

Location:        Wisconsin Dells

I will attend the Christian Fellowship Weekend  2004 and pay a registration fee of $20.00 per family

NAME__________________________________________

TELEPHONE___________________

HOW MANY ATTENDING________

List name and ages of children: ______________________

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              Deadline for Registration is June 15, 2004