Response Information

REGISTRATION

RETURN FORM AND REGISTRATION FEE BY MARCH 20, 2007

Name: Mr., Mrs., Ms., Miss, Mr. & Mrs.______________________________________

Address: __________________City_________________State__________Zip________

Telephone: ( ) ______________ Day ( ) ______________Evening

Please check appropriate box:

¨ Individual--$100.00/Total Paid $_________ ¨ Couple--$175.00/Total Paid $________

¨ Couple with 2 children up to 17 years of age--$250.00. Each additional child up to 17 years $25.00 each/Total Paid $______________

¨ Youth 18 years and older attending with or without parent--$100.00/Total Paid $______

¨ Child 17 Years and under attending without parent—$50.00/Total Paid $__________

Registration must be paid by March 20, 2007

GRAND TOTAL ENCLOSED $__________________

Please make check payable to Second Baptist Church and return it along with this registration form in the self address envelope.

I will attend the banquet. Yes________ No_____________

I will attend church service only__________ I will order souvenir book at a later date______