PA Men’s Event Registration Question Title * 1. Contact Information Name Home Church Address Address 2 City/Town State/Province ZIP/Postal Code Email Address Phone Number OK Question Title * 2. I will be staying at Laurelview: Friday Night ($16) Saturday Night ($16) Both Nights ($30) OK Question Title * 3. I will be eating the following meals: All 5 Meals ($35) Friday Dinner ($12.50) Saturday Breakfast ($5.00) Saturday Lunch ($5.00) Saturday Dinner ($12.50) Sunday Breakfast ($5.00) OK Question Title * 4. What is your t-shirt size? OK Question Title * 5. I would like to also register others coming with me: Friend 1: Friend 2: Friend 3: Friend 4: Friend 5: Friend 6: Friend 7: OK Question Title * 6. I would like to pay: At the event I will mail a check to the Regional Office Please invoice me through my email to pay by credit card OK DONE