Peninsular Florida District

7th Annual BGMC Banquet Ticket Order Form

Print and return order form with payment to address below

(please select only one box in this section)

 Pen-Florida Church (1 complimentary ticket)

OR

 Pen-Florida Grand Club* Church (2 complimentary tickets)

(Grand Club* Churches are those who gave over $1,000 to BGMC in 2007)

__________ # of additional tickets requested ($30.00 each)

__________ # TOTAL tickets (including complimentary)

__________ $ TOTAL dollar amount you will be including with order

Church Name _______________________________________________

Church Address _____________________________________________

Church City ________________________________________________

Church State __FLORIDA__     OR (other ________________________)

Church ZIP _________________________________________________

Church Phone (with area code) ________/_______________________

Contact Name ______________________________________________

Contact Phone (with area code) ________/_______________________

Contact Email ________________________@_____________________

Please print and return order form with payment to:

PFDC/BGMC BANQUET

PO Box 24687

Lakeland, FL 33802-4687

863.683.5726, ext. 245

christianeducation@penflorida.org