TEXAS STATE ASSOCIATION OF FREE WILL BAPTISTS

97^TH ANNUAL SESSION – JUNE 8-10, 2011

REGISTRATION FORM

Name __________________________________________________________________

Church & City __________________________________________________________

(Check the first box that applies to you as you read down the list. Check only one box.)

ð Out-of-State FWB Visitor (Representing _______________________________________)

ð Texas State Officer

ð Texas Ordained Minister

ð Texas Ordained Deacon

ð Wife of Texas Ordained Minister or Deacon

ð Elected Delegate to Texas State Association from District or Local Church *

ð Texas Free Will Baptist (non-delegate)

ð Other Visitor

* Prior to recognition and seating of elected delegates, applicable delegates’ fees must be turned in at the meeting with the letter from the district or church.

Survey Questions: When you make hotel reservations for the State Meeting, do you usually use the hotel and group rate arranged by the State Office? Yes / No (circle one)

Would you like for the State Office to continue making hotel arrangements for future State Meetings? Yes / No

TEXAS STATE ASSOCIATION OF FREE WILL BAPTISTS

97^TH ANNUAL SESSION – JUNE 8-10, 2011

REGISTRATION FORM

Name __________________________________________________________________

Church & City __________________________________________________________

(Check the first box that applies to you as you read down the list. Check only one box.)

ð Out-of-State FWB Visitor (Representing _______________________________________)

ð Texas State Officer

ð Texas Ordained Minister

ð Texas Ordained Deacon

ð Wife of Texas Ordained Minister or Deacon

ð Elected Delegate to Texas State Association from District or Local Church *

ð Texas Free Will Baptist (non-delegate)

ð Other Visitor

* Prior to recognition and seating of elected delegates, applicable delegates’ fees must be turned in at the meeting with the letter from the district or church.

Survey Questions: When you make hotel reservations for the State Meeting, do you usually use the hotel and group rate arranged by the State Office? Yes / No (circle one)

Would you like for the State Office to continue making hotel arrangements for future State Meetings? Yes / No