18th Global Gathering Registration (complete & mail or on line @ www.worldconvention.

org)

First Name______________________________________________Last Name _____________________________________________

First Name______________________________________________Last Name _____________________________________________

Congregation____________________________________________City_________________State______________Country_________

Check box and complete next section for Child or Youth Registration. Please indicate age as of August 1, 2012

Name__________________________________________( ) Name ____________________________________________( )

Name__________________________________________( ) Name ____________________________________________( )

Address____________________________________________________________________________________

City________________________ State____________ Postal Code_________ Country_________Phone_______________

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Account Number__________________________________________ Expiry Date__________ Authorization Code_______

Signature_______________________________________________________Email_____________________________ GIFT?___

PO Box 50998

Phone: 615-298-1824
Website: www.worldconvention.org
E-mail: office@worldconvention.org
Nashville, TN 37205-0998 USA
voice
source of
patience and

together may
May God, the

praise with one

encouragement,

so that all of you

Jesus,

Christ.
Lord Jesus
the God and
Father of our
by following the

Romans 15:5-6
example of Christ
among
yourselves
point of view
enable you to
have the same
 REGISTRATION FEES are per person.
Sharing the Love that Unites...GLOBAL GATHERING 18 Attending children are FREE with parent/guardian.

Paid by DEC 31, 2010 $150.00 US

July 25—29, 2012 World Convention
and Global Women Connecting will Paid by DEC 31, 2011 $160.00 US

come together for the 18th Global Paid in 2012 $170.00 US

Gathering to worship, learn and share Spouse-when registered w/partner $100.00 US
the energy of God’s Spirit as we are
Youth (13 years-25 years) $100.00 US
moved to be God’s loving people.
Seminarian $100.00 US

Non-Attendee (Gift) $ 75.00 US

In 80 years of bringing together the Stone
FAMILY (2 Adults and children)
-Campbell family this will be our first
Paid by DEC 31, 2010 $300.00 US
convention in South America and our first
in a Portuguese speaking nation. We are Paid by DEC 31, 2011 $330.00 US
already anticipating that this will be a Paid in 2012 $370.00 US
phenomenal Gathering like no other in 2/3 World Countries
the history of World Convention. Stone-
Paid by DEC 31, 2010 $ 55.00 US
Campbell / Restoration Movement
congregations can be found in all 26 Paid by DEC 31, 2011 $ 60.00 US
States and the Federal District of Brazil Paid in 2012 $ 60.00 US
totaling nearly 2,000 churches. GROUP
Come see the modern city of Goiania, 10 or more from same congregation
You won’t want to miss this opportunity! $100.00 US
a tropical beauty in the heart of Brazil. registering together (per person)
Just 125 miles from Brasilia, some of SCHOLARSHIP—You are invited to
the best hotels, restaurants and donate fees for those who cannot
recreational areas in the country are afford to attend.
located here. The world renowned hot CHILDREN PROGRAM FEES
springs, Caldas Novas and Rio Quente YOUTH PROGRAM FEES TBA

are nearby. All participants are responsible for visa application.

USA citizens see www.portalconsular.mre.gov.br/
See information on special mundo/america-do-norte/estados-unidos-da-
World Convention Tours at america/atlanta/servicos/visa

www.southamerica.travel/WorldConvention2012/