Assemblies of God Bible Alliance

Registration Form
Eighth Annual Fire Bible Summit
August 31-September 3, 2009   Coeur d'Alene, Idaho

YES!

 Please reserve my/our entry to the 2009 Fire Bible Summit in Coeur d'Alene.
      (Deadline for registration is July 1, 2009)

 We have already provided 400 Fire Bibles ($4,000) in 2009.

 We will give the 400 Fire Bibles ($4,000) by . (Deadline is July 1, 2009.)

Make checks payable to Assemblies of God Bible Alliance or Light for the Lost.
All gifts to the Bible Alliance receive LFTL credit. Please send payments to:
1445 N Boonville Ave 
Springfield, MO 65890-0206
Please note this information on checks to Bible Alliance:
4755633 (40)   2009 Fire Bible Summit     SC:ML

Title Rev.Rev. and Mrs.Mr.Mr. and Mrs.Dr.Dr. and Mrs.Ms.Mrs.Miss  Name

I represent (Name of Church, District, Business) 

I am the pastor   I attend the church   Other 

Church/Business Address

City  State  Zip

Phone  E-mail

Home Address

City  State  Zip

Phone  E-mail

Please mail correspondance to:  Church/Business   Home

My spouse is attending  

               is not attending

Other Guests (Please list all persons who will be staying in room.)

Room request   king bed    double bed   other 

Please enter me in (one event per person):

 Fire Bible Golf Classic
Name

            My partner will be

            Please assign me a partner.