2010
Registration Form December 26-30, 2010
Please click here to apply for a CMC 2010 Scholarship.
1. 個人資料Personal Information (以家庭或個人為單位填表 One form per family or individual):
若有12~18歲者與會,請下載青少年輔助表 Please download Youth Supplemental Application for youth attendee (Age 12~18).
稱謂
Contact Title
中文姓名 Chinese Name
*英文姓氏
Last Name
(English)
*英文名
First Name (English)
性別 Gender
年齡
Age
select 先生 Mr. 女士 Ms. 牧師 Rev. 博士 Dr.
select 男 M 女 F
select 19-22 23-35 36-50 51-65 66+
華語 Chinese 英語 English 青少年 Youth Undecided
2. 其他參加大會家庭成員 Family members who will attend with you: (If you are not from the same family please register separately)
英文姓氏
Last Name (English)
英文名
參加節目 Program
select 華語 Chinese 英語 English 青少年 Youth, ages 12-17 兒童 Children, ages 4-11 嬰幼兒看顧 Nursery, under 3 years-old undecided
3. 團體註冊代號 Group ID: select G-01, Boon Church of OCM, Flushing, NY G-02, Calvary Baptist Church of New Haven, Cheshire, CT G-03, Calvary Church, Lancaster, PA G-04, Chinese Bible Church of Greater Boston, Lexington, MA G-05, Chinese Bible Church of Lancaster, Lancaster, PA G-06, Chinese Bible Church of Maryland, Rockville, MD G-07, Chinese Christian Church and Center, Philadelphia, PA G-08, Chinese Christian Church in Somerset, Somerset, NJ G-09, Chinese Christian Church of Baltimore, Baltimore, MD G-10, Chinese Christian Church of Columbia, West Columbia, SC G-11, Chinese Evangel Mission Church of New Jersey, East Brunswick, NJ G-12, Chinese Gospel Church, Philadelphia, PA G-13, Christ Evangelical Lutheran Church, Brooklyn, NY G-14, Church of the Living Lord, New York, NY G-15, Community Church of Great Neck, Great Neck, NY G-16, Detroit Chinese Alliance North, Troy, MI G-17, Emmanuel Alliance Church of Ottawa, Nepean, ON, Canada G-18, Evangelical Formosan Church of New Orleans, Kenner, LA G-19, First Baptist Church of Flushing, Flushing, NY G-20, Harvest Chinese Christian Church, Fairfax, VA G-21, Houston Chinese Church, Houston, TX G-22, Jersey City Community Church, Jersey City, NJ G-23, Living Stone Christian Church, Livingston, NJ G-24, Maryland Chinese Baptist Mission, Rockville, MD G-25, Monmouth Chinese Christian Church, Middletown, NJ G-26, Montgomery Chinese Baptist Church, Silver Spring, MD G-27, Oversea Chinese Mission, Marlboro, NJ G-28, Oversea Chinese Mission, New York, NY G-29, Pittsburgh Chinese Church at Oakland, Pittsburgh, PA G-30, Raleigh Chinese Christian Church, Cary, NC G-31, Rutgers Community Christian Church, Somerset, NJ G-32, Trinity Christian Church of Greater Philadelphia, West Conshohocken, PA G-33, Trust In God Baptist NJ Mission, NJ G-34, West Chester Chinese Evangelical Church, West Chester, PA G-35, West Island Chinese Alliance Church, Dorval, PQ, Canada G-36, Wilmington Community Evangelical Church, Hockessin, DE G-37, Digital Bible Society G-38, Ottawa Mandarin Alliance Church, Ottawa, ON G-39, Chinese Christian Mission Church, Durham, NC G-40, Cherry Hill Chinese Christian Church, Cherry Hill, NJ G-41, Greensboro Chinese Christian Church, Greensboro, NC G-42, Lincoln Road Chapel, Waterloo, ON, Canada Can be obtained from your church coordinator.
4. 費用及注意事項 Fees & Information: *您在支票上的付費總額請務必包括餐費及報名費. ($142餐費將全數支付旅館,大會並未從中獲利) Your payment MUST include meals & registration fees (the meal fee goes to the hotel).
費用
Fee
餐費
Meals3
Super Early
Registration by Sept. 9th
最先報名
Early
Registration by Nov. 11th
預先報名
Regular
Registration by Dec. 12th
全價報名
人數 Person(s)
*共計 Total
成人及青少年
Adult & Youth1,2 (Ages 12 and up)
$69
$
十二歲以下兒童2 Children (Ages 4-11)
$35
四歲以下兒童2 Children (ages 3 & under)
免費 Free
免費
Free
僅接受美元現金或支票
Foreign currency and/or checks are not accepted
奉獻Donation
總額 Total (美元USD)
1,2 計算年齡以 2010年12月26日為準。
1,2 Age on December 26, 2010.
3 參加者必須在旅館會場用餐。 12月27日至29日有簡便早餐、午餐、及豐富的晚餐,12月30日則提供早餐及午餐。
3 The meal fee is required to meet our obligation with the hotel. Meals included are as follows: simple Breakfast and Lunch and full Dinner for December 27th, 28th, 29th and Breakfast and Lunch on December 30th.
5. 繳費方法 Payment methods:
信用卡 Pay by credit card
支 票 Pay by check (Please see the instruction on the auto reply email)