Church of God In Christ, Inc. Southern California Second Ecclesiastical Jurisdiction

1. Church of God In Christ, Inc. Southern California Second Ecclesiastical Jurisdiction 16th Annual Pastors and Elders Retreat Holiday Inn Express ~ 1661 Villa Cardiff Drive, Cardiff By the Sea, CA September 20-21, 2013 Registration Form Registration Fees: Includes dinner and retreat materials. Complimentary breakfast with lodging. Couples: $45 Singles: $25 Hotel Rate: $89 per night plus tax Book hotel directly by calling: (760) 944-0427 Ext. 131 *Reference: “Pastors and Elders Retreat” when making room reservation Return Registration Form and Payment to: Elder James Jackson ~ 6415 Bullock Drive, San Diego, CA 92114 / (619) 743-9246 Checks Payable to: “Pastors and Elders Council” Registrant 1: _____________________________________________________________________________ Registrant 2: _____________________________________________________________________________ Address: __________________________________________________________________ City: _______________________________________________________________________ State: ______________________________________ Zip: ________________________________________ Home Phone: ( ) ________________________________ Mobile Phone: ( ) _______________________________ Registering: Couple: Single: Total Amount Enclosed: $ _____________________ District Name: _______________________________________________________________ Superintendent’s Name: ____________________________________________________