REGISTRATION FORM (Print using your browser's print function) -- use your browser "back" button/arrow to return to web site

Register by January 18, 2010  LATE REGISTRATIONS -- CALL CAROL (920) 398-2781

Name____________________________________________

Address__________________________________________

_________________________________________________
City                                                             State             Zip

Phone____________________________________________

E-Mail____________________________________________
(You will receive your conference confirmation via this e-mail address)

Registration fee of $49 includes the luncheon on Saturday, seminars, & program materials

*****  Door Prizes *****

Choose one of the following for your entree at the luncheon Saturday:

______  Chicken Picatta
______  Pan Fried Talapia

Mail your completed registration form along with your check for $49 made payable to Olive Tree Ministries to:

Olive Tree Ministries
c/o Carol Dibble
256 W. Charles
Markesan, WI 53946

If you are planning to stay overnight, remember to make your room reservations at the Heidel House Resort
(920-294-3344 or 800-444-2812) as this is separate from your registration fee & form. Mention Whole Woman
Conference to receive your discount room rate.

THANK YOU!!