HOUSE OF GOD, INC
90th Annual General Convocation - Member Registration Form
Personal Information
Title:
First Name:
Last Name:
Address:
City:
State:
Zip:
Phone Number:
Email Address:
Church Name:
Church Address:
Pastor's Name:
Division:
Date of Arrival
Select Date:
Hotel Selections
Courtyard Lexington North
       775 Newtown Court, Lexington, KY 40511
Embassy Suites Lexington
       1801 Newtown Pike, Lexington, KY 40511
Homewood Suites by Hilton Lexington
       249 Ruccio Way, Lexington, KY 40503
Griffin Gate Marriott Resort Spa
       1800 Newtown Pike, KY 40511
Red Roof Inn Lexington
       1980 Haggard Court, Lexington, KY 40505
Holiday Inn Express
       1780 Sharkey Way, Lexington, KY 40511
Lexington Relocation Services
       775 Newtown Court, Lexington, KY 40511
Other:
Other family members in attendance from the same household (16 years and up)
  Title First Name Last Name Age  
Person #1:  
Person #2:  
Person #3:  
Other family members in attendance from the same household (15 years and down)
  First Name Last Name Age  
Person #1:  
Person #2:  
Person #3:  
Special accommodations
Interpreter
Sabbath diabetic meal ticket