JAMAICA BAPTIST UNION 5 BELIEVERS’ CONVENTION and the 167th GENERAL ASSEMBLY FEBRUARY 22 – 26, 2017 th
Montego Bay, St. James
R E GI ST R A T I O N F O R M Name: Last Name
First Name
Telephone: Home
Work
Mobile
Email: Email Minister☐
Youth Delegate ☐
Church Delegate☐
Executive Committee ☐
Observer/Guests/Other ☐
Representing (tick one, insert name): ☐Church ☐Association Title: Mrs ☐
☐Circuit ☐Department
Mr ☐ Miss☐ Rev ☐
Days Attending: Wed☐ Thurs☐ Fri☐ Sat☐ Accommodation option (please tick as appropriate)
Details of Payment
Registration @ J$11,000.00 Number of persons _____
I/We have completed the Accommodation Booking Form and sent it to JBU via fax/hand or by email to assembly@jbu.org.jm (This form is not the Accommodation Booking Form)
I/We are interested in a ‘Home Stay’ accommodation with a local church family (Contact the JBU Office directly)
I/We are making our own accommodation arrangements.
J$
Registration per day J$ Number of days ____________ @ J$4,500 per person per day (Registration fee includes Convention Package); this does not include any hotel meals or other use of the hotel’s facility.
J$
Total enclosed (Registration is not complete without payment)
Payments can be made by cheque payable to JBU or to NCB Account #304533943 or by hand at the JBU Office.
Kindly fax bank receipts/confirmation to 924-6296 or email to assembly@jbu.org.jm. For direct
Signature: ________________________
Date: _______________________
Registration fee includes: Convention Package Please note that meals are not included in registration cost.
For Official Use Only: Received: J $______________ Date: _______________
Please submit this form to Jamaica Baptist Union Centre, 2B Washington Boulevard, Kingston 20 Tel.: 1-876-969-6268 Fax: 1-876-924-6296 Email: assembly@jbu.org.jm Website: www.jbu.org.jm/assembly
JBU General Assembly Registration Form
October 2016