Registration Form


Midwest Full Gospel Baptist Church Fellowship

Bishop William H. Murphy Jr., Region Bishop

2006 Five-In-One Empowerment Summit
April 19-22, 2006
Everyone is invited!
No Registration Fee Required

Title: First Name: Middle Intial:
Last Name:
Gender: Male Female
Address:
City: State: Zip:
Phone Number: Cell Phone:
Email:

Church:
Pastor:
Please check your conference choice attendance below:

Time: Day Sessions 9:00pm - 2:00pm - Evenings: 6:30pm

Thur Fri Evening All
Pastors' Conference
Elders'and Ministers' Conference
Men's Conference
Women's Conference
Youth Conference

I will attend the Leadership Workshop classes on Saturday    Yes No 
For information call: (248) 335-6960 Ext. 28
Please fax to: (248) 335-2328
Email to: millertruth@aol.com

Mail to: 
New Mount Moriah Missionary Baptist Church
204 W. New York 48340
Pontiac, MI 48340
Attention: Elaine Miller

Service Location:
Friendship Baptist Church
5301 Nebraska Street
Toledo, OH

Hotel Reservations:
Wyndham Hotel
(419) 241-1411