This is a registration form for the Senior Adult Conferences, June 2-5 and June 9-13, 2008
Print out this form and mail it with your preregistration fee to:
Events / OZARK CHRISTIAN COLLEGE
1111 North Main Street
Joplin, Missouri 64801

For more info call 417.626.1234 ext. 2100 or E-mail JEnglish@OCC.edu.

Please check the event in which your group wishes to participate. Please, only one couple per registration form.

Name _________________________________________

Address ____________________________________________

City ___________________________State ______Zip _______________

Phone _________________________E-mail _______________________

Church Name _________________________________________

City ___________________________State ______

I will attend the June 2-5, 2008 Conference June 9-13, 2008 Conference

I would like a... Single Room ($375 or $485)
Double Room ($260 or $320)
Triple Room ($215 or $275)
Quad Room ($195 or $245)
RV Hook-up ($50 deposit. Contact Jill English at 417.626.1234 ext.2101 for rates)

Please charge $ _____________ to my credit card account.

Exp. Date ___________ Cardholder's name (please print) ____________________________

Card No. ________________________________________________

C.V.V. No. ______ (last three digits of the number on the back of your card in the signature area)

Signature ________________________________________________

Make checks payable to Ozark Christian College. $ _______________ check included.