Mail Registration


	請在此打勾如您是 Please Check here if you are 牧師 Pastor 師母 Rev. Mrs 宣教 Missionary 傳道 Minister 神學 Seminary Student
	姓名 (中): _________________________________________
	English Name: ____________________________________________
	地址 (Address): _________________________________________
	電話號碼(Phone No): _______________________________
	電郵(Email Address): _______________________________
	性別 Gender: 男 Male 女 Female
	婚姻狀況 Marital Status: 未婚 Single 已婚 Married 其他 Other
	年齡 Age Group: 高中 High School 大學 College Grad / Post-Grad 職業 Career 退休 Retire 其他 Other
	語言 Language Preference: 國語 Mandarin 粵語 Cantonese 英語 English No Preference
	信仰 Religion: __________________________ 沒有宗教信仰 - No Religion
	所屬教會 Home Church: ____________________________________
	T-Shirt Size: Medium Large X-Large No Thanks - I do not want a T-Shirt
	如您願意參與日後的青年大會事工，請在此打勾 Check here if you would like to volunteer for SCBA Conferences
	如您願意參與日後的青年大會事工，請在此打勾 Check here if you would prefer motel accommodations. **Please note that motel accommodations are based on availability, and will require additional charge to cover the difference between motel rooms and dormitories as assessed by the conference facility.

請剪開及安報名表，寄到:
Please cut apart registration portion, and mail to:

Pioneers 2009 Conference
3822 Stockbridge Dr
Sugar Land, TX 77479

報名費 ($75.00)包括T-Shirt,三天三夜的食宿.
請於大會報到時繳交, 支票抬頭請寫 SCBA
Registration Fee ($75.00) includes a T-shirt, and is due
on the first day of the conference.
Please make check payable to: SCBA