Name

First Name

Last Name

Cell Phone #

(###)

###

####

Will your spouse be joining you?

Spouse's Name

(If attending with you)

First Name

Last Name

Eligibility

I serve full-time as a pastor, missionary, or leader in a Christian non-profit organization.

Ministry Position/Title

Name of Your Chrisitan Non-Profit Organization

Organization's Website

Organization's Phone #

(###)

###

####

Organization's Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Arrival and Departure Dates Desired

Ministry Stays are limited to 1-3 nights Monday - Thursday.

Alternate Arrival and Departure Dates

If your preferred dates are not available please list other dates that might work for you.

Arrival & Departure Times

Your arrival time needs to be during Cedar Springs office hours. (Monday - Friday 8am - 5pm)

Additional Information or Requests