Print this page and return it along with your registration fee to :  First Assembly of God Church,   3340 S. 16th Street, Chickasha, OK  73018.   Call Cindy Childers at (405) 413-8048 or (405) 224-2539  for more information.

                Festival Dates: Friday and Saturday, Nov. 6th and 7th, 2009

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   Christmas Expressions Arts and Crafts Festival Online Registration Form

Name __________________________________________________  Date _____________________

Address ________________________________________________  Zip Code __________________

City/State _______________________________________________ Phone ____________________

Type of Craft ________________________________________________________________________

Will electricity be required? ____________________________________________________________

$ ____________________ 10'X8' Space @ $55.00                   MAKE CHECKS PAYABLE TO:

$ ____________________ 8' Table @ $5.00                            First Assembly of God Church

$ ____________________ 8' Pegboard @ $5.00                      

$ ____________________ Total Enclosed