Name *

First Name

Last Name

Phone *

(###)

###

####

Lunch Options *

We are offering a box lunch from Jimmy John's for an additional cost. Box lunches cost $15 (payable by cash or check on day of conference). Lunches include a sandwich, chips, cookie and pickle. Orders must be received by APRIL 18. You can also visit one of the many restaurants nearby or bring your own lunch. Please select an option below.

Turkey sandwich box lunch ($15)

Ham sandwich box lunch ($15)

Tuna sandwich box lunch ($15)

No thanks. I'll get my own.

Do you attend a church on a regular basis?

Yes

No