‣ Include registration forms &
BASIC Conference
deposits along with this sheet
‣ Send in by February 20th to
Registration
ensure roommate requests are
granted
‣ First & last names required
Room 5
1. ____________________________ $_______
❑ Cash
❑ Check #_______
2. ____________________________ $_______
❑ Cash
❑ Check #_______
3. ____________________________ $_______
❑ Cash
❑ Check #_______
4. ____________________________ $_______
❑ Cash
❑ Check #_______
Room 6
1. ____________________________ $_______
❑ Cash
❑ Check #_______
2. ____________________________ $_______
❑ Cash
❑ Check #_______
3. ____________________________ $_______
❑ Cash
❑ Check #_______
4. ____________________________ $_______
❑ Cash
❑ Check #_______
Commuters
1. ____________________________ $_______
❑ Cash
❑ Check #_______
2. ____________________________ $_______
❑ Cash
❑ Check #_______
3. ____________________________ $_______
❑ Cash
❑ Check #_______
4. ____________________________ $_______
❑ Cash
❑ Check #_______
5. ____________________________ $_______
❑ Cash
❑ Check #_______
6. ____________________________ $_______
❑ Cash
❑ Check #_______
7. ____________________________ $_______
❑ Cash
❑ Check #_______
8. ____________________________ $_______
❑ Cash
❑ Check #_______
9. ____________________________ $_______
❑ Cash
❑ Check #_______
10. ___________________________ $_______
❑ Cash
❑ Check #_______
serving the church // to reach the colleges // to change the world