2014

Y.U.C.C Registration
AUGUST 1-3,2014 ~4709 MACDONALD AVE. CHURCH OF CHRIST RICHMOND, CA
Registration Dates April 7- July 21, 2014

Please Print Clearly (One registrant per form)































First N ame: _ ______________________________




Last N
ame: _ __________________________________




















Address:














________________________________________________________________________________































S tate: _____________
_________________________
City: _ ____________________________






Zip Code:





















Home Congregation:

_____________________________









Email: __________________________________































Ages: 18-14 25-30
31-35
36-40 41-45 45+

Registration Fee: $40

Amount Enclosed: __________

Payment Method: Money order/Cashier check payable to;
MacDonald Ave. Church of Christ

Please submit registration form and payment method to:
4709 MacDonald Ave. Richmond, CA 94805

COMMITTEE

USE ONLY

FOR

Date Received: ___________________

Cashier Check/Money Order #: __________________

Total Amount Received: _______________________

Cash Amount: ____________________

Cashier Check/Money Amount: ____________________

Processed By: ________________________________

www.YUCC.MDACofC.org