REGISTRATION VIM TEAM LEADER TRAINING

8:30 am-3:00 pm VIM TEAM LEADER TRAINING.  Cost: $36 ($46/couple: 1 manual).  Call 573-474-7155 for more information.  Remember to click submit when this form is completed. 

Select ONE preferred date/location:   

October 11, 2008-O'Fallon, MO

February 7, 2009-Columbia, MO

March 14, 2009-Cape Girardeau, MO

My lunch count is person(s).  NOTE: Lunch type may vary for different locations (i.e. sandwich, pizza, salad, etc.).

Choose a Sandwich:  Turkey        Ham        Roast Beef        Veggie

T-shirt color:      Gray       Red       Lime Green (Disaster)

T-shirt size:       Small      Medium       Large       X Large       XXLarge       XXXLarge

My t-shirt count is shirt(s).  (If you have more than one shirt, list here which size should be which color).

NAME  DAYTIME PHONE   

ADDRESS    CITY    STATE    ZIP  

HOME PHONE    FAX    EMAIL   

NAME OF CHURCH :            

Please List any Volunteers In Mission experience: