Covenant Celebration Registration
Call Bonnie at 870-350-0865
Mail THIS form with check to: BRMI, 9973 Hwy 21 N, Berryville, AR 72616
Fill Out Registration Form
Names First and Last ____________________________________
Number attending ____
Phone Number __________________
Email Address _______________________
Mail Address ____________________
City, State, Zip Code _____________________________________
Total Cost Per Person $
Total Payment ______________
Passion Play Package (Optional)
Saturday Sept. 16, 2023
Includes Holy Land Tour, Buffett Dinner and Passion Play
Tour Cost $55
CREDIT Card Information
Name on Card
Card Number
Expiration
CVV Code
Personal Information
First Name
Last Name
Street Address
City
State
Zip Code
Email Address
Phone Number
SUBMIT YOUR PAYMENT
Call Bonnie at 870-350-0865
Mail THIS form with check to: BRMI, 9973 Hwy 21 N, Berryville, AR 72616
Fill Out Registration Form
Names First and Last ____________________________________
Number attending ____
Phone Number __________________
Email Address _______________________
Mail Address ____________________
City, State, Zip Code _____________________________________
Total Cost Per Person $
Total Payment ______________
Passion Play Package (Optional)
Saturday Sept. 16, 2023
Includes Holy Land Tour, Buffett Dinner and Passion Play
Tour Cost $55
CREDIT Card Information
Name on Card
Card Number
Expiration
CVV Code
Personal Information
First Name
Last Name
Street Address
City
State
Zip Code
Email Address
Phone Number
SUBMIT YOUR PAYMENT