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  Convention Online Registration Form
   

Full Gospel Interdenominational Church, Inc.
30th Minister's Convention
Form must be completed and submitted before April 14th.

* indicates required field

Instructions: Each Guest (or married couple) must complete the online registration form.
You must be a Full Time Minister to register for the Convention. If you have any questions,
please email minbr@fgichurch.org or call Rev. Salvatore Mancini or Renee Westry
at (860) 646-8731, Monday - Friday between the hours of 9:30 AM to 3:30 PM.

If you are concerned about how we intend to use this information, please review our Privacy Policy.


Your Name:
*
*
If Attending -
Spouse's Name:
Mr.
Mrs.
How would you like your name tag(s) to read? Please check one appropriate title:

* Your Title

 

Spouse's Title

 

* Whatever is marked here will appear on your name tag. *


Please give full address of where you'd like your confirmation sent:
* Address:



* City:
* State
or Province
* Zip Code:
* Phone with Area Code:
Cell
with Area Code:
Fax with Area Code:

Email:





Accomodations cover our 3 nights of convention.
If you arrive prior to May 4th, or stay past May 6th, charges will be your responsibility.

Overnight Accomodations For: (Please Check)
Tues. (May 4th)
Wed. (May 5th)
Thurs. (May 6th)
Do you require a handicapped room?

Yes
No

If attending alone,
would you mind rooming
with another "single" guest?


* Traveling By:


Car  

Bus Transportation
Bus Company Name:



Date of Arrival:



Arrival Time:
Date of Departure:



Departure Time:

Plane Transportation: To Bradley International Airport (Hartford-Springfield)
Someone will meet you at the arrival gate.
Airline:



Flight Number:
From:
Date of Arrival:
Arrival Time:
AM
PM
Date of Departure:
Departure Time:
AM
PM

Please enter any Special Instructions, Notes,
or Additional Information that may help us to better serve you.