Church Registration Form

Early Registration deadline is December 1.

Please provide the following contact information:

Director's Name

Church

Street Address

Address (cont.)

City

State

Zip code

Work Phone

E-mail

number of ringers

number of octaves

BOX LUNCH CHOICES FOR SATURDAY:
Box lunches will be provided by Jimmy John’s.
Each lunch includes a gourmet sub, chips, pickle, and cookie.
Please indicate below how many ringers/guests would like each choice.

ham & cheese

turkey & cheese

vegetarian

This submission will not be considered official until a church registration check has been received.

Make checks payable to Kathwood Baptist Church

Mail to:

Burt Pardue

Kathwood Baptist Church

PO BOX 6486

Columbia, SC 29260-6486

bdpardue@kathwoodbaptist.org

sponsored by The Cooperative Fellowship of South Carolina

Director's Name
Church
Street Address
Address (cont.)
City
State
Zip code
Work Phone
E-mail
number of ringers
number of octaves
BOX LUNCH CHOICES FOR SATURDAY: Box lunches will be provided by Jimmy John’s. Each lunch includes a gourmet sub, chips, pickle, and cookie. Please indicate below how many ringers/guests would like each choice.
ham & cheese
turkey & cheese
vegetarian