Please Read to the bottom for information about Conference I will be presenting Saturday at 9:30 am and on the panel discussion.

“CPR: CHRIST’S PRESENCE REVEALED”

Scripture Reference: 1 Thessalonians 2:19

O N E R E G I S T R AT I O N F O R M P E R P E R S O N P L E A S E

FRIDAY THRU SUNDAY, SEPTEMBER 21~23 2012

Please return the completed form(s) with checks made out and mailed to:

Life Center Church of Deliverance

P.O. Box 388041, Chicago, IL 60638

Envelopes are enclosed for your convenience

Registration Fee: $100.00/person. Includes conference materials, two meals (dinner Friday & lunch Saturday ) and

a gift bag. A deposit of $50.00 is due by August 26; balance due September 17.

Hotel Accommodations: Please contact the DoubleTree directly at 630-971-2000. A limited number of hotel rooms

have been set aside for Friday and Saturday nights under the name: L.I.F.E. Women’s Conference. Rooms must be

reserved by September 9, 2012 to ensure room availability at the discounted rate of $95/night (single or double),

$105/night (triple or quad) plus tax. All rooms are suites that have two full beds or one king bed plus a sofa bed in

the living room area, and also include full breakfast Saturday and Sunday for all registered guests.

W O R K S H O P S W I L L B E G I N A T 9 : 3 0 A M

O N E R E G I S T R AT I O N F O R M P E R P E R S O N P L E A S E

Name: ___________________________________________________________________________________________

Email: ___________________________________________________________________________________________

Home Address: ____________________________________________________________________________________

City, State, Zip:____________________________________________________________________________________

Phone/Email:(optional):______________________________________________________________________________

Church Name: _____________________________________________________________________________________

Church Address: ___________________________________________________________________________________

City, State, Zip: ____________________________________________________________________________________

How did you hear about this event? Radio:____ Friend:____ Internet:____ Other:____________________________