LS2015 Application Form

Lodging with families is limited due to the
size of the local congregation. If you prefer lodging with a family, circle Yes
on the registration form and a lodging
coordinator will contact you upon acceptance.
If you prefer a motel, please see the list
below. Be sure to mention that you will be
attending Men's Seminar at Berne Christian Fellowship in order to receive the
discounted rates mentioned below:
Due to limited space, applications will be considered on a first come, first serve basis. Registrant must be 18 years old at time of Seminar.
Please Print Clearly (*) Indicates Required Info.
Ft Wayne International
*Name:
(FWA)
__________________________________
First
__________________________________
Street
__________________________________
Street line 2
__________________________________
Dayton International
Indianapolis International
(IND)
Location: Indianapolis, IN
Approx. distance from Seminar:
2 hours 15 minutes
State/Province
Country
ZIP/Postal Code
*Home Phone:
__________________________________
000-000-0000
*Cell Phone:

Location: Dayton, OH
Approx. distance from Seminar:
1 hour 45 minutes
City
__________________________________
(DAY)
Distance – 7 miles
$60.00 + tax 2 queen beds
(260) 589-8955
Last
*Address:
Location: Fort Wayne, IN
Approx. distance from Seminar:
45 minutes
(Optional unless no Home Phone)
__________________________________
000-000-0000
Email Address: (Optional)
__________________________________
*Age: ____ *Lodging Needed: Yes or No
*Have you previously attended a Men’s Leadership Seminar?
Yes or No
There is an admission fee of $85.00 USD.
Payment options:
 Cash or check mailed or presented
at time of Registration.
 Credit or debit card online only
*I am including my admission fee: Yes or No
Columbus International
(CMH)
Distance – 13 miles
$60.00 + tax 2 queen beds
for 2 adults
(260) 824-5553
Location: Columbus, OH
Approx. distance from Seminar:
2 hour 30 minutes
Make checks payable to:
Berne Christian Fellowship
Mail or Fax your completed Application
Form no later than February 9, 2015 to:
Berne Christian Fellowship
683 West 300 South
Berne, IN 46711
Fax: (866)615-2819
Apply Online:
bernechristianfellowship.org/kdm2015
Change Service Requested
Presort Standard
US Postage PAID
Berne, IN
Permit No. 96
February 17-20, 2015
2015
to join us for a time of encouragement
to join us for a time of encouragement
and renewal
renewal ofof vision
vision asas we
we pray,
pray,
and
fellowshipand
and
seek
God
together.
fellowship
seek
God
together.
______________________________________
__________________________________________
This Seminar
Men’s Seminar
being hosted
by
This
is being ishosted
by Berne
Berne
Christian
Fellowship
in
Indiana.
Christian Fellowship in Indiana. Our
We aregeographical
located at:location
5045 is:West 800
building’s
South
Geneva,
IN
46740.
GPS
5045 West 800 South Geneva,
IN 46740
Coordinates: 40.627089, -85.033336.
We are asking for a response before
We are asking
a response
February
11 soforthat
we can before
plan
appropriately.
the 9th of February so that we can
__________________________________________
plan appropriately.
______________________________________
Early
Registration and a light meal will be
available
Monday Evening,
February
21
Early registration
and a light
meal will
from
5:00 – 7:00
PM. Evening, February
be available
Monday
16th from 5:00
– 7:00
PM.
Registration
begins
on Tuesday
Morning,
February
22
at
8:00
AM.
Please
on
Registration
begins
on plan
Tuesday
being
prompt.
Morning, February 17th at 8:00 AM.
To Make Ready a People
Prepared for the Lord
John Braun – Cleardale, AB
The Church at Cleardale
Have Faith in God
Dale Heisey – Costa Rica
Marcella Christian Brotherhood
The Gospel of the Kingdom
John D. Martin – Shippensburg, PA
Shippensburg Christian Fellowship
Berne Christian Fellowship
683 West 300 South
Berne, IN 46711
__________________________________________
Please plan on being prompt.
If______________________________________
you have any questions about this
Seminar other than lodging, feel free to
If you have any questions about this
call one of the following numbers:
Seminar other than lodging, feel free to
call one of(260)
the following
numbers:
450 – 2097
Alan Troyer:
450 – 2097
(419) 733(260)
– 5471
Mose Schwartz: (419) 733 – 5471
We look
forward
tomany
hearing
from you!
Please
make as
copies
of this invitation as needed.
To be announced…
:
$85.00
Check our website for updates:
www.bernechristianfellowship.org/kdm2015

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