Elim Fellowship Annual Conference 2010 Registration

Name(s):___________________________ Phone: ________________                                                        

Address:___________________________________________________

City:__________________   Prov.:__________  PC.:________________

French translation will be provided.

Please include the registration fee payable to “Elim Fellowship Canada”

Please print & send this Registration no later than September 10, 2010 to:
Elim Fellowship Canada                                                                     Telephone 519-753-7266
379 Golf Road                                                                                         E-Mail Admin@elim.ca
Brantford, Ontario N3T 5L8