華人差傳大會「下一步」事奉退修會報名表
CMC “Next Step” Retreat Registration Form
May 21-23, 2010 (以個人為單位,家庭則請戶長填表)
* Firming up the foundation for what’s ahead
* Cultivating Christ-centered personal and communal life
1. 個人資料Personal Information:
稱謂Contact Title
中文姓名
Last Name
First Name
性別Gender
年齡 Age
語言 Language
select M F
18-34 35-50 50+
2. 通訊資料Correspondence Information:
住址Address
城市City 州State Please Select Outside US/CANADA Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District Of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Nova Scotia Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming 郵遞區號Zip code
電話Tel. (daytime): (evening):
傳真Fax: 電子郵箱E-mail:
3. 用餐 Meals:請在空格內填寫每餐用餐人數 Please fill in the number of people attending each meal
Meals/Date
5/21 FRI
5/22 SAT
5/23 SUN
Breakfast (farm house)
歡迎來到樂園鎮 Welcome to Paradise
恕不供應午餐
散會, 一路平安
No Lunch Dismissal, Have a safe journey
Snack
(會中備有茶點招待 Refreshments will be provided)
4. 交通:(需機場接送者,請勾選以下接送時間。若您無法配合接送時間,煩請自行安排,謝謝!) Transportation:(Please check the following pick-up & drop-off options offered by AFC. If you cannot make it, please make your own arrangement. Thanks!)
【接送時間Pick-up & Drop-off Schedule】
3:30 pm, 5/21/10 from Philadelphia Airport Harrisburg Airport to AFC(基督使者協會)
2:00 pm, 5/23/10 from AFC to Philadelphia Airport (arrive the airport before 4:00 pm)
Harrisburg Airport (arrive the airport before 3:00 pm)
5. 住宿資料 Accommodation: 選擇不住在使者農莊者,請自行向旅館訂房。Please reserve room directly with the hotel if you choose not to stay at AFC’s farm house.
使者農莊AFC’s Christiana Tsai Retreat Center (Farm House)
男女分房Dormitory Style (bunk bed for individuals)
Rodeway Inn (0.71 miles from AFC)
3127 Lincoln Highway East Paradise, PA 17562
Phone: 717-687-6272, Fax:717-687-6274
You can get cheaper rate online:
Rode Way Inn, Paradise PA
$59.99(不含稅)
per room per night
6. 費用(註冊費含手冊及膳食) Registration fees (including handbook and meals)
項目(Item)
After 5/2日以後
Sub-Total
註冊費Registration Fee: 個人 Individual
$65
$
自由奉獻
共計 Grand Total
7. 報名繳費方式 Payment methods:
信用卡 Pay by Credit Card
支 票 Pay by check:
請務必詳細填寫報名表所有的資料,以便完成報名手續。
只有五十個名額,請速報名!
請將填妥的報名表及費用,寄回基督使者協會總部:
Please mail your payment along with the registration form before 5/2 to:
AFC, 21 Ambassador Drive, Paradise, PA 17562
8. 退修會報名連絡人 Retreat Registration Contact Person
陳黃淑娟 Sue Chen ›phone: 717-687-8564 ext. 210 / fax: 717-687-8891 › shuang@afcinc.org