FCMI Banquet Sept 25, 2019

St. Simons Christian Renewal Church

 Registration begins at 6:00 p.m. Banquet starts at 7:00 p.m.

Name

Address

City, State Zip Code

Name of Church or Ministry

Dates you will be attending the conference

Number of people who will be attending the banquet

First and Last Names of People Attending Banquet