App
2019 Feast of Tabernacles and Last Great Day
Monday, October 14, through Monday, October 21
Dear Brethren,
Here is the information packet for the 2019 Feast of Tabernacles. Listed below are the major Feast sites. In addition to these, there will be many smaller sites scattered across the USA. As we have grown in recent years, we have increased the number of Feast sites. Every year we have sites closer and closer to where the brethren live—so that travel to the Feast is more convenient.
Please carefully follow the packet instructions. Each person is responsible for making his or her own reservations. In all locations, please mention that you are with the Christian Biblical Church of God, because in most cases we have been given special rates.
We need your help: Over the years it has been our policy to let people attend the Feast wherever they desired—and to change their minds as need be. Some even wait until a few days before the opening night of the Feast before making housing reservations. However, such late decisions make planning most difficult. Please let us know where you will attend as soon as possible so we can fulfill our contractual obligations of guaranteed minimums.
Please be sure to return the Feast Information Form (last page) as soon as possible.
Remember that the Feasts of God are as important as the weekly Sabbath. Through keeping them year by year, we are able to learn and understand more about God’s plan as revealed in the Bible. May God bless you in every way and make this year’s Feast the best ever for you and your family!
With love in Christ Jesus,
Fred R. Coulter
FRC
Bellaire, Michigan
Shanty Creek Resort
5780 Shanty Creek Road • Bellaire, MI 49615 • (866) 695-5010
We are pleased to announce that the CBCG will have a Feast site for 2019 in Bellaire at the Shanty Creek Resort—located near Traverse City and the beautiful Northern Lake Shore Area of Michigan. Miles of beaches, trails, fall colors, spectacular sunsets, and beautiful vineyards are just a few of the reasons to visit the area! Surrounded by public parks, forests, and beautiful lakeshores, the area has a variety of recreation for outdoor adventure. Enjoy the natural beauty of the Sleeping Bear Dunes, featuring miles of sugar-sand beaches along Lake Michigan’s pristine shoreline. The following links will provide highlights about the area:
www.traversecity.com • https://youtu.be/6ATn73Z9Res • https://youtu.be/diqg2uRRUTw
We have reserved a block of rooms at the Shanty Creek Resort, where services will be held. When making reservations, tell them you are with the CBCG Feast conference. The Resort will hold the rooms until September 13. For information and reservations, call (866) 695-5010.
The Cedar Creek Village has rooms available at $139 per night for one bedroom suites; two bedrooms suites are $239 per night. The Summit Village, three miles from where services will be held, has traditional rooms for $107 per night. In addition, there is a large selection of home rentals, cottages, motels, and campgrounds in the Bellaire area.
You may go on line at: www.shantycreek.com/stay/lodging/view-all-by-type/.
Opening night services will be held on Sunday evening, October 13, at 7:30 PM. All daily services throughout the Feast will begin at 10 AM. We plan to have a number of activities in which brethren can get to know each other and enjoy each other’s fellowship. A festival calendar will be available for your convenience.
For assistance please contact Albert Jones at (517) 282-9982.
Ocala, Florida
Homewood Suites by Hilton Ocala at Heath Brook
4610 SW 49th Road • Ocala, FL 34474 • (386) 369-4610
Ocala is located in the upper central Florida area. Gainesville International Airport is 45 miles to the north, and Orlando International is 75 miles to the south.
Services will be held at the newly renovated Homewood Suites. Daily services begin at 10:15 AM. On the first day we will have morning and afternoon services with a catered lunch in between. Activities are planned, and everyone will participate in choosing what we can enjoy together as a group.
Rooms are $95 per night plus tax. Be sure to ask for the group rate for the CBCG. Homewood Suites rooms are among the most comfortable. Each room has a kitchen with full size refrigerator. Includes a daily hot breakfast and a light dinner Monday through Thursday.
There is a laundry center, pool, and exercise facility on-site. Restaurants and shopping are within walking distance.
Please note that attendance is limited; if you plan on attending, contact us so we can keep count. If you need assistance, please contact us:
Nolan Joseph (352) 575-4848
Faye Joseph (352) 575-5445
Panama City Beach, Florida
LaQuinta Inn & Suites
7115 Coastal Palms • Panama City Beach, FL 32408 • (850) 234-3133
We are happy to announce that we will be hosting the 2019 Feast of Tabernacles at the LaQuinta Inn & Suites in Panama City Beach. The location is across from the main gate to the Naval Support Activity on Thomas Drive.
All rooms are $99 per night and will accommodate up to four people. The hotel serves breakfast, is pet friendly, and has an outdoor pool. For reservations call (850) 234-3133 and indicate that you are with the CBCG. Other accommodations are available through Airbnb, VRBO (Vacation Rentals by Owners), Panama City Beach Vacation Rentals, etc.
Services will be at 10:30 AM daily. We are looking for assistance with video/sound, piano accompaniment, special music, etc. Please call or e-mail prior to the Feast if you can help. Russ Kemp (festival host) (931) 394-2183 • cell (931) 205-2459;
This time of year the weather is spectacular and the summer crowds have diminished. Panama City beaches are some of the best in the world. Just 3 miles from the La Quinta is St Andrews State Park—the most visited state park in Florida—offering camping, boating, picnicking, swimming, fishing, and a nature trial. Just 2 miles away is the famous Captain Andersons’s seafood restaurant; more restaurants are within walking distance from the hotel.
Attractions include: pontoon and jet ski rentals, go carts, goofy golf, regular golf, Gulf World, Ripley’s Believe It Or Not museum, etc. Shopping and restaurants are just minutes away.
Branson, Missouri
Radisson Hotel
120 South Wildwood Drive • Branson, MO 65616
(417) 3355767 • Reservations: (844) 246-2301
Services will begin at 10 AM daily. A block of 20 rooms has been reserved for the Feast, beginning in price from $101, plus tax.
Feast hosts: Bill Wax (620) 238-1475; Mona Wax (620) 724-3480.
Branson offers a wide variety of affordable housing options as well as many attractions: Veterans Memorial Museum, Titanic Museum, Branson Scenic Railway (for a beautiful tour of the Ozarks), the IMAX theatre, and nearby Silver Dollar City. There are also many live shows and concerts to take in, and lots of shopping and dining venues.
Tulsa, Oklahoma
Tulsa Church of God Building
14509 East Marshall Street • Tulsa, OK 74116
We are once again meeting in the Tulsa Church of God building—located at 14509 East Marshall St., which is on the corner of 145th street and Marshall, about a mile and a half north of I-44. (There is no off-ramp at 145th street, so you will need to take the 129th street off-ramp, go north to Admiral, then make a right turn and go back to 145th, then go north on 145th.)
Services will be from 10:30 AM to 12:30 PM, with no opening evening service. The CBCG Tulsa fellowship group looks forward to seeing you.
We do not have any arrangements with hotels or motels, so each person is responsible for making his or her own housing arrangements. You can get better prices by using AARP’s seniors’ discount or veterans’ discount. If you need a list of good motels, feel free to call me.
Tulsa is a great place for the Feast, as there are many places of interest. We are planning several activities, including a church-sponsored meal. For information or assistance, contact Lawrence Burchfield at (918) 733-4175.
Pigeon Forge, Tennessee
Norma Dan Motel
3864 Parkway • Pigeon Forge, TN 37863
(865) 453-2403 • (800) 219-6809 • www.normadanmotel.com
We are pleased to again offer a Feast location for 2019 in the Great Smoky Mountains. We have a block of rooms and will be meeting at the Norma Dan Motel in Pigeon Forge.
The festival site is just outside the Great Smoky Mountain National Park, the most visited national park in America. The park offers scenic beauty with opportunities for hiking and beautiful drives through the countryside. For area information, please visit www.gatlinburg.com/ things-to-do/national-park/default.aspx.
Pigeon Forge and the nearby towns of Gatlinburg and Sevierville offer activities, shopping, and attractions for everyone to enjoy. Festival activities include a family dance/variety show and a family activity. A Fellowship Room will be available each evening. Restaurants, attractions, and shopping centers are all within walking distance.
For those interested in performing special music, please let us know. If you have special needs or need further information about this Feast site, please feel free to contact us.
Festival hosts/elder: Tom & Rhonda Fannin—(937) 288-2266;
A festival calendar will be available for your planning convenience. We do plan to have several activities in which brethren can get to know each other and enjoy each other’s company.
Services:
We will be meeting at the Norma Dan Conference Room.
Opening night service will be at 7 PM; daily services will be at 10 AM.
Evening fellowship will be available beginning at 6 PM.
A block of rooms has been reserved at the Norma Dan Motel. Two Queen or One King rooms are $669.01 for eight nights, including tax. Full breakfast included. Reservations help to reduce the cost of the conference room. Thank you in advance for helping us fill these rooms.
Reservations need to be made by September 1 for guaranteed rates. Call the Norma Dan Motel at (865) 453-2403 and mention the CBCG to receive the group rate. First night’s deposit required at booking; balance due on arrival. Please make your reservations ASAP.
Other accommodations are available in the area including cabins, campgrounds, hotels, or condos. Please visit www.mypigeonforge.com.
Lake George, New York
Wingate by Wyndham
4054 State Route 9L • Lake George, New York 12845 • (518) 668-4884
This year, the Feast will be held in Lake George, located in the beautiful Adirondack mountains of New York. The city is named after Lake George, nicknamed the “Queen of American Lakes.” In the fall, the mountain foliage changes from green to deep oranges, yellows, and burning reds. Lake George is known for its recreational facilities, lakes & streams, and historical associations. Things to do at Lake George: horseback riding, zip lining, hiking, kayaking, steamboat rides on Lake George, Six Flags Great Escape theme park, trail biking, and historical museums. Fort William Henry is there to visit as well. Lake George is close enough to easily travel to Saratoga Springs, Fort Ticonderoga, Lake Placid, and Ausable Chasm.
We have reserved a block of rooms at the Wingate (where services will be held). The rate is $99.99/day (+ tax); reservations must be made by Sept. 13. When making reservations, tell them you are with the CBCG. Options: home rentals, cottages, motels, and campgrounds. For info, visit: www.tripadvisor.com, www.vrbo.com, or www.lakegeorgechamber.com/lodging/.
Opening night services will be Sunday, October 13, at 7:30 PM. The holy day service for Monday, October 14, will begin at 10 AM. All remaining services will be at 10 AM.
We plan to have several activities in which brethren can enjoy each others’ company. A festival calendar will be available for your planning convenience. For info or assistance, contact Roger Kendall at (802) 734-0441 or .
Blanchard, Idaho
Stoneridge Resort
150 Holiday Loop • Blanchard, Idaho 83804
(208) 437-2451 or (208) 437-2454 • www.stoneridgeresort.com
The Feast will again be held in Blanchard, at Stoneridge Resort. Blanchard is located in the upper panhandle of Idaho, two hours south of the Canadian border. The resort is surrounded by a beautiful golf course, and the area features sparkling lakes and stunning parks. The resort has a recreation center that includes a pool, mini golf, hot tub & sauna, pool tables, fitness room, water aerobics, basketball court, tennis courts, bicycle rentals, and picnic/BBQ areas. Area activities include golfing, fishing, lake cruises, bike trails, Farragut State Park on Lake Pend Oreille, and the stunning Priest Lake.
Stoneridge Resort Rooms: All rooms include a hide-a-bed and kitchenette. Prices are for eight nights, including tax; full cost of stay due at booking. Please make reservations as soon as possible to insure availability as these are timeshare rentals that may have a waiting list. Also, please mention you are with the CBCG to get first priority. Use phone numbers above.
Studio $696.60 Large 1 bedroom $810.00
Standard 1 bedroom $772.20 Two bedrooms $923.40
Moose Inn in Spirit Lake, 7 miles south of Stoneridge, has rooms for $59-$89 per night. This is a newer motel with clean, spacious rooms. They offer king with kitchenette as well as double queen rooms with microwave and fridge: (208) 627-9788; www.mooseinnspiritlake.com.
Contact: Patrick & Georgia Ryan (971) 678-3483 • (208) 437-1585
•
Houston, Texas
Best Western Hotel
11611 NW Freeway • Houston, TX 77092
Located at Highway 290 & Antonio • (713) 2901400
We will once again have a Feast site in Houston, hosted by the Houston Independent Church of God. We will meet at our regular meeting hall, with services each day at 10:30 AM.
The following accommodations are within five miles of the meeting hall:
Woodland Inn & Suites—www.booking.com
Best Western Plus—expedia.com
Super 8 Brookhollow NW— expedia.com
Motel 6 Brookhollow NW—www.motel 6.com
La Quinta Inn Houston NW—www.lq.com
America Best Value Inn & Suites—expedia.com
For information, contact Tommy Foy at (832) 713-9446; e-mail .
Kalispell, Montana
Hampton Inn
1140 Highway 2 West • Kalispell, MT 59901
www.hamptoninnkalispell.com • (406) 755-7900
The Feast will again be held in Kalispell at the Hampton Inn in the very comfortable and accessible Hampton Conference Room. Evening services will begin at 7 PM on October 13, and services for the first day of the Feast (Oct. 14) will begin at 10:30 AM. You can expect spiritually uplifting messages throughout the festival, as well as wonderful special music. The conference room is reserved for 2:30 PM Sabbath services (Oct. 12) for those arriving early.
The church has negotiated the rate of $89 (plus local bed tax) per night for standard guest rooms with two queen beds or one king bed at the Hampton Inn. When making reservations, please let them know you are with the CBCG to receive this rate—www.hamptoninn kalispell.com or (406) 755-7900).
There is a 24-hour indoor pool and hot tub as well as a 24-hour exercise facility. Enjoy a free hot breakfast with fresh waffles every morning, as well as evening coffee and cookies. The Hampton features a business center with high-speed wireless Internet, a gift shop, and a coin-op laundry. Also, a 24-hour airport/local area shuttle is offered by the Hampton.
We are planning several enjoyable activities—including Glacier Park Day, a Movie Night, and a Game/Fellowship Evening. There are excellent places to eat, shop, and recreate—or just relax—within close proximity. If you are interested in participating in the Feast choir, youth choir, special music, or can serve in another capacity, please contact John and Hiedi Vogele, festival coordinators, at (406) 266-9988 or at . Also, you may go to www.feastoftabernaclesfestival.com to check the schedule and get more information. Many activities and fellowship opportunities are planned. We wish everyone the best Feast ever!
Pasadena, California
Holiday Inn Express (HIE)
3500 E. Colorado Blvd. • Pasadena, CA 91107
(626) 792-1363 • www.ihg.com
We are pleased to again hold the Feast in Pasadena—for the third year in a row. Services will be held at the Holiday Inn Express, in the Sierra Room. Complimentary coffee, tea, water, and snacks will be available at the back of the room.
The opening night message will begin at 7 PM, Oct. 13. Services will be held daily at 11 AM, with the following exceptions: Wednesday, Oct. 16, services will be at 7 PM (to allow for a day trip); and Saturday, Oct. 19, services will be at 3 PM.
Activities planned: Fun show/game night and a BBQ in the park. Sites include Laguna Beach, Queen Mary, Temecula (ballooning), Palm Springs (outlet shopping), Big Bear, etc.
Feast Housing: Prices are an average rate for 9 nights, on a per night basis, unless otherwise noted. Unless noted, estimates are “plus tax” (around 12%). Also see TripAdvisor.com or individual hotel sites. For homes to rent, visit: airbnb.com, rentbyowner.com, homeaway.com, etc. Also Google Pasadena hotels. Hotels listed below are a mile or less from HIE. *Indicates walking distance. For information, please call Byron Norrod at (747) 217-2320.
Astro Pasadena Hotel 2818 E. Colorado Blvd 626-449-3370 (Patel/Brian)
9 nights + tax: 2Q: $1280 K: $1145 (Check AstroPasadena.com for discounts/promotions.)
Best Western Pasadena * 3570 E. Colorado Blvd 626-796-9100 (Rudy)
per night + tax: 2Q: $119 K: $109
Best Western Royale * 3600 E Colorado Blvd 626-793-0950 (Rianna)
9 nights, including tax: 2Q: $1627.95 K: $1526.97 K Suite: $1728.93
Hi-Way Host Motel * 3474 E. Colorado Blvd 626-795-7086 (Paloma)
Weekly: Q: $480 (each additional night $80) 2Q: $520 (each additional night $90)
Holiday Inn Express (host) 3500 E. Colorado Blvd 626-792-1363 (Annie; code CBC)
2 Double Beds: $155 (2Q, K, K Suite upgrades available; call for details.)
Hotel Le Reve * 3321 E. Colorado Blvd 626-796-9291 (Gabby)
2Q: $149* 2Q Premium: $179* K: $139* K Premium: $169*
*Apply promo code “dream” on Website to save 18% (HotelLeRevePasadena.com).
La Casa Inn 2800 E. Colorado Blvd 626-449-1122 (Omi)
K: 9 nights, including tax: $947 2Q: 9 nights, including tax: $1151
Ramada by Wyndham 2156 E. Colorado Blvd 626-788-0325 (GM Aaron/Angela)
per night + tax: 2Q: $119 K: $119 K Suite: $199 Mention “CBCG rate” for 20% off.
Roadway Inn & Suites 2860 E. Colorado Blvd 626-792-3700 (GM Mike/Ravi)
9 nights, tax included: Q: $995.81 2Q: $1300.56 K: $1070.56
Super 8 Pasadena 2863 E. Colorado Blvd 626-449-3020 (Tyler)
9 nights, tax included: Q: $1185 2Q: $1289 K: $1227
Hollister/Gilroy, California
Pinnacles Building
341 Tres Pinos Road • Suite 207-B • Hollister, CA 95023
NOTE: The Hollister/Gilroy site is already FULL.
This year we will again be meeting in Hollister, in Meeting Room 207-B, in the same building where our office is located. We will have our first meeting at 11:30 AM, October 14. All meetings will be at the same time every day.
Rooms at the Marriott Hotel (390 Gateway Dr. in Hollister) are $1192 (+ tax) for 8 days. Plus you get free breakfast. Call them at (831) 634-1101.
Rooms are also available at the Ridgemark Golf & Country Club. Call (831) 637-8151 for reservations. Single King $695 (+ tax) for 8 days; Double King $800 (+ tax) for 8 days.
In addition, there are a number of bed and breakfast houses in the area and the best way to find them is to do a Google search of the Hollister/San Juan Bautista area.
This is the 13th year that we will have a Feast site in Hollister/Gilroy, which is located 35 miles inland from the central California coast. The site is about 55 miles from the San Jose Airport, 48 miles from Monterey and Santa Cruz, and about 135 miles from San Simeon, the location of the Hearst Castle.
There are many attractions for children as well as adults within the areas mentioned. For those who enjoy history, San Juan Bautista is just 10 miles away. It is the location of the Old Mission San Juan Bautista built in 1797. Monterey City and Monterey County feature the Monterey Bay Aquarium, a number of nature walks, scuba diving, wine tasting, museums, missions, and facilities featuring Steinbeck. Twenty miles away, Gilroy has Bonfante Gardens Family Theme Park. Approximately 55 miles away is the Roaring Camp & Big Trees Railroad where a narrow gage railroad runs through the redwoods. It is suggested that you check the Internet for a complete list of attractions and sites within easy driving distance of Hollister.
Other Area Motels:
Motel 6—Gilroy (408) 842-6061. San Juan Inn—San Juan Bautista (831) 623-4380
Best Western—Hollister (831) 637-9248 Wiebe Motel—Hollister (831) 637-5801
Western Canada—Vernon, BC
The Castle at Swan Lake
7905 Greenhow Road • Vernon, BC V1B 3S2
Toll Free 1 (844) 854-0490 • (778) 475-4232
The 2019 Feast for Western Canada will again be held in Vernon, near the renowned Okanagan Valley region in British Columbia. The area is most beautiful in the Fall and features interesting geography and a fascinating history: www.vernon.ca and www.tourismvernon.com.
The facility is just off Highway 97, about 10 km east of the center of Vernon.
Accommodations and the meeting hall are in the same building. Opening service will be on Sunday, October 13, at 7:30 PM at The Castle at Swan Lake Hotel Meeting Room.
The following suites are available—each includes a spacious living room; fire place; double pullout sleeper sofa; 40-inch TV; private balcony or deck; fully equipped stainless steel kitchen. Includes a free continental breakfast, WI-FI, and long distance calling anywhere in North America. Pet friendly suites are limited. Rates quoted in Canadian dollars; credit card required to secure reservation. Rates based on double occupancy. Our group rates are available only until September 27.
Deluxe King Suite—one king bed $104.90 per night + taxes sleeps maximum of 4
Executive King Suite—two bedrooms $129.90 per night + taxes sleeps maximum of 6
Features 1 open area bedroom with king bed and 1 queen bedroom with full bath in loft area.
Family Suite—two bedrooms $171.04 per night + taxes sleeps maximum of 6
Features 1 open area bedroom with king bed and spacious living room and 1 queen bedroom with full bath in loft area. The loft area also has a living room with a beautiful view of the lake. Note: Only one Family Suite is available.
Reservations: Contact The Castle using the above phone numbers. Tell them you are with the CBCG to get the group rates! The group block is under CBCG Conference 2019.
Other accommodations are available; see www.booking.com/Vernon-Accommodations or www.tripadvisor.ca/Hotels.
For any questions regarding this Feast site, contact Norbert and Denise Bohnert at:
(403) 381-6057 or cell (403) 894-0279; e-mail .
Note: For planning purposes, please contact the Bohnerts with the following registration information: Name, Address, City, Province/State, Postal Code, Phone Number, E-mail Address. Include the number of adults and children who will be attending, with their ages. Include the Feast site you are attending and the name of the accommodations. Please get this information to us as soon as possible! Thank you!
Eastern Canada—Price Edward Island
Brackley Beach Community Center
3330 Brackley Point Road (Route 15) • Brackley Beach, PEI • (902) 672-2063
Feast services will be held at the Brackley Beach Community Center. The first service will be October 14 at 11 AM. For information, contact: George and Simona Neufeld at (902) 9403938 or .
Options for accommodations are below. Each one is on Brackley Point Road, 2-4 km from the Community Center. Please note that many of the accommodation facilities used last year will be closed for the season this year.
CNG Country Cabins (902) 6721400 • cngcountrycabins.com
1 to 3 bedroom cabins, regular and deluxe; prices range from $89 to $159 per night
Almost Home Cottages (902) 6722352 • almosthomecottages.com
$55 per night, 1 bedroom • $70 per night, 2 bedroom deluxe • $120 per night, 3 bedrooms
Millstream Cottages & Motel (902) 672-2186 • millstream.pe.ca
2 bedroom cottage, $623 per week
1 bedroom king, $595 per week
Malacca, Malaysia
Avillion Legacy Melaka (Malacca)—Four Star Hotel
www.avillionlegacymelaka.com
Greetings from Malaysia! We will have a Feast site this year in Malacca, on the west coast of peninsular Malaysia. Malacca has a rich historical and cultural background from past Portuguese, Dutch, and British rule.
Rooms rates: Superior Room twin sharing—2 super single beds or 1 king bed;
with breakfast for two guests; 8, 9, or 10 nights.
150 RM (Malaysian Ringgit) per night
49 AUD (Australian Dollars) per night
36 USD (American Dollars) per night
There are three additional room types—bigger rooms with living rooms (prices will be different). Check Website for details. Those interested can e-mail me and I will do the booking; payment can be made via credit card or cash upon arrival.
Meal Package: 3 Combine Luncheons at the hotel for 3 Sabbaths
2 Combine Dinners at the hotel for 2 Sabbath evenings
1 Combine BBQ Dinner at the hotel on 1 Sabbath evening
Cost for all 6 meals (per person) = 320 RM; 106 AUD; 78 USD
For those interested in joining our Malaysian Feast, please feel free to contact me:
Andrew Moses +6 012 664 2277 +6 038 724 7258
or
Australia & New Zealand
Several Feast sites are planned for Australia and New Zealand.
For locations and details, please contact: Roy Assanti at .
2019 Feast of Tabernacles—Information Form
Please select the site that you will attend and circle it on this information form. Please note that you must make your own reservations.
I/we plan on attending the Feast of Tabernacles with the Christian Biblical Church of God at the following location:
Ocala, Florida
Panama City Beach, Florida
Branson, Missouri
Tulsa, Oklahoma
Pigeon Forge, Tennessee
Lake George, New York
Blanchard, Idaho
Houston, Texas
Kalispell, Montana
Pasadena, California
Hollister/Gilroy, California FULL
Western Canada—Vernon, BC (mail form to Canadian Office)
Eastern Canada—Prince Edward Island (mail form to Canadian Office)
Malacca, Malaysia
Australia & New Zealand
For smaller local groups, with 3-10 people, you may order the Feast DVDs.
_____ Yes, send the Feast DVDs
Please note: We are automatically sending the Feast of Tabernacles CDs to everyone, so you do not need to order them ahead of time.
Number of adults ________ Number of Children ________ Ages ____________
Name _____________________________________________________________
Address _____________________________________________ Apt __________
City _________________________ State _______ Zip Code _______________
Phone Number ______________________________________________________
E-mail Address ______________________________________________________
