2010
Registration Form December 26-30, 2010
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 11 兒童 Children, ages 10 兒童 Children, ages 9 兒童 Children, ages 8 兒童 Children, ages 7 兒童 Children, ages 6 兒童 Children, ages 5 兒童 Children, ages 4 嬰幼兒看顧 Nursery, ages 3 嬰幼兒看顧 Nursery, ages 2 嬰幼兒看顧 Nursery, ages 0-1 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 G-43, Chinese Bible Church of Greater Nashua, Nashua, NH G-44, Queens Taiwanese Evangelical Church, Flushing, NY G-45, The Church of Grace to Fujianese-Manhattan G-46, Knoxville Chinese Christian Church, Knoxville, TN G-47, Good News Ministry, Rockville, MD G-48, China Grace Christian Church, Penllyn, PA 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
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)