Conference Registration Form

Name____________________________________________________________

Address__________________________________________________________

Address__________________________________________________________

City____________________________State_____ Zip Code__________+_____

Home Phone (______)____________ Work Phone (______)__________________

E-mail____________________________________________________________

Church represented_________________________________________________

Please check which group you will be attending:
Adult____ Youth to Adult(Y2A) _____ Youth____ Child____Age(if Youth or Child) _______

Amount Enclosed: $________________ (Make checks payable to FABM)

Send to:
Registration
Fellowship of American Baptist Musicians
3300 Fairlawn Dr
Columbus, IN 47203

Fees:

* Only one membership per family is required
Please Note: Membership portion, $25.00 of registration fee, is non-refundable.

Please Remember - One Form Per Person