DLCMCDC REGISTRATION FORM JULY 2

DLCMCDC FAMILY MINISTRY BRINGS LOVE AND PROSPERITY TO YOUR FAMILY AND WANTS YOU TO KNOW THAT JESUS LOVES YOU AND SO DO WE. THEREFORE DO YOUR BEST TO GET A GOOD REFILL IN THE RETREAT OF JULY 6-8, 2007 AT HOLIDAY INN CHERRY HILL, NEW JERSEY, FOR FAMILIES TO BE SAFE AND SOUND. PLEASE INVEST IN YOUR FAMILY, INVEST IN YOUR MARRIAGE, AND INVEST IN YOUR YOUTH.

REGISTRATION FORM, JULY 4-6, 2008

DLCMCDC FAMILY RETREAT 2008

Direction to York, Pennsylvania

Click: Married couple - $525.00 Your Name:		Spouse name:
DOB___ _____ ______ Work #______ _______________		DOB___ ___ ___ Work #____ ____________
Married Couple - Finance & co. Address: _____________________________________________________________ H. Phone #____ __________ Registration □ $100.00 _______ 3 days and 2 Night/Hotel/Meals/and Services: 325.00/couple ________ Saturday Night Banquet / Gala Night: $100.00/couple ___________ Total Couple: $525.00 _____________ Sign here: Husband ____________________________Wife _________________________Date ____ ____ ______
Single Parent - $425.00, additional person $125.00 Click: Single Parent - Finance & co.
Parent Name: _______________________________________ DOB___ _____ ______ Work #____ ____________ Sign here: _________________________________________	Registration □ $50.00 / Person 3 day/2 night/Hotels/Meals and Services $325.00 Banquet / Gala Night: $50.00/person Total 1 person alone per room: $425.00 ____ Additional Person $125.00/double/triple... plus registration: $50.00, Gala night: $50.00 Total for additional parent: $225.00 Single □ Double □ Triple □ Quad □
Youth – $425.00, additional person $125.00 Click: Youth – Finance & co.
Name________________________________________________ Address______________________________________________ How old are you? _______ Finish school? ___ Work? ________ Do you plan to get married? ____ Soon? ____ In the future? ____ H. phone #____ ______________ Work #_____ ___________ Do you have a friend now? _____ Date of love? ___ ____ ____ Friend name? ____________________________________ Sign here: __________________________Date: ___ ___ ______ Donations: General _ Building fund for Head Quarter DLCMCDC _ Church Jesus Is My Universe in Jacmel Haiti __ Support for Family Retreat ___ Support for Bishop D. Laurent, Founder/President and CEO ___			Registration □ $50.00 / Person 3 day/2 night/Hotels/Meals and Services $325.00 Banquet / Gala Night: $50.00/person Total 1 Youth alone per room: $425.00 ____ ---------------- Additional Youth $125.00/double/triple... plus registration: $50.00, Gala night: $50.00 Total for additional youth: $225.00 Single □ Double □ Triple □ Quad □ _____________________________________ DLCMCDC ONLY Paid full □ Date received ___________________ Couple □ Single Parent □ Single Y Adult □ Approved code: __________ Sign____________

Single Parent – Youth

You have the right to choose registered persons (male and female not permitted in same room) to be in your room. Failure to do so by May 01, 2008 DLCMCDC will proceed as directed.

Write the names below:

1)_____________________________________Phone #: _____ _________ Age _________

2)_____________________________________Phone #: _____ _________ Age _________

3)_____________________________________Phone #: _____ _________ Age _________

→ Cut here and mail with your remittance--------------------------------------------------------------------------------------------------

Regulations:

Everyone must wear DLCMCDC I.D. Card at all time during the Retreat. Your ID Card will be included in your Registration packages. For security purposes, no one will be permitted to enter facilities without the badge. This is a multicultural program, please be courteous, a Christ-Centered person. Work toward your year award issue and your success.

Be on time at all sessions. Remember that all general sessions will occur at breakfast, and dinner time.

Be on your best during the retreat, feel great, and important, knowing that you are not going to be the same anymore.

FEEL FREE TO MAKE ADDITIONAL COPIES IF NEEDED

We honor: Personal checks, Money orders, Traveler checks, Certified checks, Master, Visa and Paypal- Full payment must be received by May 01, 2008; otherwise, contact the President, Dr. Daniel Laurent for special concerns. No one stays behind. Cancellation must be done one month prior the Event.
Registration for Couple, Parent, and Youth of the year 2007 is $100.00.
Special dates to remember: Friday 4, 2008 Event will start with romantic dinner, conference and workshops will follow and more.
Saturday 5, 2008 Early breakfast, Conference, workshops, Special Parade, Romantic Banquet/Gala night, Flowers show, Love exhibit and more.
Sunday 6, 2008 Worship and healing service, (try not to miss this healing service) Marriage re-consecration, renewal of vows, heartfelt-dedication and more.

Write your checks or money orders to DLCMCDC, P.O. BOX 2502, UPPER DARBY, PA 19082

Note: If you want to make a donation, write your check to DLCMCDC DONATE, P.O. BOX 2502, UPPER DARBY, PA 19082. Remember that God loves you and so do we.

PRINT THIS PAGE AND MAIL OR FAX IT TO DLCMCDC (see fax number below).

Do not forget, always tell a friend about DLCMCDC

Click: We love to win your heart through our testimonials

DLCMCDC Family Retreat 2006

Award and photos 2006

Voice: 484.461.6304, Cell: 267.679.2028, Fax: 610.723.1754

Webmaster: Dr. Dan, christianministries@hotmail.com

Revised: Tuesday March 11, 2008 Hit Counter