REGISTER ONLINE - AGIFNA 2012 - Assemblies of God India Fellowship North America

AGIFNA 2012 - REGISTERATION ONLINE

First Name

Last Name

Zip : *

Church

Address

City

State

Phone

Cell

Email *

ADULTS ( 12 and Above )
	Name	Sex M F
1
2
3
4
5.
6.

CHILDREN (11 and Below)
	Name	Age	Sex M F
1
2
3
4
5
6

ROOM.	3 Days Thu-Sun	2 Days Fri-Sun	1 Day Sat-Sun	No.rooms	Total
Luxury Room (Min 4 people)	$117	$78	$39
Luxury Room (Min 3 people)	$147	$98	$49
Luxury Room (Max 2 people)	$177	$118	$59

FOOD.	Thu-Sun	Fri-Sun	Sat-Sun	No. people	Total
Adults(age 12 and above)	$117	$78	$39
Children(age 5-11)	$60	$40	$20
Children 4 and below	free	free	free

REGISTRATION.	Per Person	no.people	Total
Registration per person (age 5 and up )	$15

TRAVEL INFORMATION.
Transportation Required	Yes	No

REGISTRATION PROBLEMS

If your having problems with your registration please email registration@agifna.net.

Conference Gift

If you haven't booked a Airline ticket yet EMAIL flight details to:

travel@agifna.net.

If you have booked a flight, please fill in the below form:.

Airport - Dallas Forthworth Airport Dallas Lovefield Airport

Flight details :
Arrival Date	Arrival time	Airline & Flight #
	Am Pm

Thank You

Thank You From AGIFNA 2012 Staff.

Contact Numbers

Reggie John	972 679 3587.
Tony George	972 987 9272.
Shiju Abraham	214-738-9445.
Jeslin Abraham	214 490 6100.

Registration Help

registration@agifna.net.

Release & Disclaimer: AGIFNA will not be liable in anyway whatsoever for any damage, injuries, losses or costs incurred by attending the conference(s). Attendee(s) will assume fully responsibility for their direct or indirect actions.

Your registration will be under review and you will receive a confirmation e-mail upon approval.

Digital Signature(Print First & Last Name)

Date (MM/DD/YY)