GREAT SMOKIES PRAISEFEST REGISTRATION FORM
November 12-14, 2007

Only one form is needed per address. Please print clearly and do not staple checks to forms.
Please names of each person in your room or names of person for each ticket needed.
Make checks payable to and mail to: Praisefest - PO Box 604 - Kure Beach, NC 28449

NAME(S): __________________________________________________________

___________________________________________________________________

ADDRESS: _________________________________________________________

CITY:_____________________________________STATE:_________ZIP: _______________

PHONE:_________________________________EMAIL:______________________________

MEZZANINE SECTION

( ___ ) Reserved Seating and accomodations at the Dumplin Valley Best Western Inn,
Holiday Inn Express Pigeon Forge, Comfort Inn - Interstate I-40, or similar Hotel.

METHOD OF PAYMENT: (Please check one)

( ____ ) - Check Enclosed

( ____ ) - Bill my Credit Card

Credit Card # : _ _ _ _ / _ _ _ _ / _ _ _ _ / _ _ _ _ Expiration Date: _______/________

Charge Amout: ( ____ ) Deposit Only ( ____ ) Payment in full

Signature: _________________________________________________________