Time to Finish the Work, an Upper Room Experience in preparation for the Latter Rain. SPRINGVILLE CAMP & Conference Center in Odenville, AL

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1 Overview Thank you for your interest in the Tenth Annual Upper Room Experience! If you are applying as an individual, a couple, or for your family... you may use the form on the following pages, to submit an initial application to register and secure your spot for the 10th Annual, Upper Room Experience camp meeting retreat. For more details or to apply online, visit: RETREAT DETAILS AT A GLANCE Time to Finish the Work, an Upper Room Experience in preparation for the Latter Rain. August 4-9, 2015 Motels & Dorm Rooms Meals Available BHM Birmingham Airport SPRINGVILLE CAMP & Conference Center in Odenville, AL Application Inside APPLICATION INSTRUCTIONS You can send this application packet via Post Mail. Or you can register online (above). 1. Print & Fill Form 2. Send by Post Mail 3. Remit Payments Pay close attention to all the details of each section outlined in the following pages of this application form, to secure your spot! Then please send your completed application with any payments to 800 Snuff Branch Rd Pulaski, TN Deposit of ⅓ of total cost is due on February 15th. The Second payment is due on April 15th. The remaining balance is due on July 1st. A $25 late fee will be incurred after July 1st.

2 PAGE 1 OFFICE USE ONLY Post Mark Deposit $ Check # Notified I. Registrant Information 1. I am applying for (select one): [ ] Myself [ ] My Spouse and I [ ] My Entire Family 2. Last Name: First Name: Address: City: State: Zip 5. Phone: ( ) - or ( ) - 6. How many children (ages 5 and under) will be accompanying you? 7. How many children (ages 6-12) will be accompanying you? 8. How many adults (ages 13 and over) will be accompanying you? 9. The Family Plan is for a husband and wife with at least three children. Under this plan you would pay for 4 people, and one child may attend at no charge. This includes both lodging and food. Please note that this discount is for children staying at home under 19 years of age, that are still supported by the family. «APPLICATION OVERVIEW LODGING AND MEALS»

3 PAGE 2 II. Lodging and Meals Cost for lodging and meals are packaged into one convenient price. These plans span the duration of the retreat (meals beginning Wednesday morning and ending on Sunday afternoon, with a sack lunch). NOTE: Any child 5 years old and under, attends at no cost! = meal included with plan. These meals will be directed by our camp meeting cooks. We serve a plant-based vegetarian menu (free of milk and eggs); served twice a day. MOTEL $295 PER PERSON DORMITORY $255 PER PERSON Standard: 2 full size beds, sleeps 2 to 6 people; double (2) occupant minimum. Number of persons Extended: 2 full size beds, 2 bunk beds, sleeps 4 to 8 people; quad (4) occupant minimum. Number of persons TENT SITES * PRICES VARY [ ] No Meals: $70, per person [ ] With Meals: $195, per person You must provide your own tent and supplies. Tents sleep as many as your personal tent will hold. The area has a food preparation facility, restrooms, and showers. Number of persons The dormitory rooms have a very open floor plan, packed with bunk beds. Each dorm room sleeps up to 16 people. Number of persons OFF CAMPUS * NO MEALS / PROGRAMS [ ] 1-2 Day Access: $15, per person, per day, for up to two days of events. # of persons # of days [ ] Multi-Day Access: $40, per person, attending 3 or more days of events. # of persons Must order Meal Plans by July 1st: # of Adult Plans ( at $35/day ) # of Child Plans ( at $30/day ) «REGISTRANT INFORMATION ACCESSIBILITY AND ACCOMMODATIONS»

4 PAGE 3 III. Accessibility and Accommodations 1. Do you have a disability and need a handicap-accessible room? [ ] Yes [ ] No 2. Please provide any requests you may need fulfilled, specific to your disability: 3. Do you need a ride from or to the airport? [ ] Yes, I need a ride from the airport to the retreat area. [ ] Yes, I need a ride to the airport from the retreat area. [ ] Yes, I need a ride both from and to the airport. [ ] No, I have my own transportation. Thank you. 4. If you answered Yes... to item number 3 above, please provide the following details: a. How many in your group (including yourself) need to be transported? b. Which airline provider are you flying on? (i.e. Delta, JetBlue, etc.) c. What is the Flight Number of your airline vessel? (i.e. DL1993) d. What is your Arrival date: and time: e. What is your Departure date: and time: 5. If you have any further questions, comments, or concerns... please voice them here: «LODGING AND MEALS PAYMENT CALCULATOR»

5 PAGE 4 IV. Payment Calculator You will need to calculate the total cost of your package based on your selections on the previous pages, and determine what part of that balance you would like to pay. We have provided the following do it yourself calculator to guide you through this process. 1. Did you want to reserve: [ ] Motel Standard [ ] Motel Extended $295 [ # of people ] = [ Motel Subtotal ] 2. Did you want to reserve: [ ] Dormitory Room $255 [ # of people ] = [ Dormitory Subtotal ] 3. Did you want to reserve: [ ] Tent Site no Meals [ ] Tent Site with Meals $70 [ # of people ] = [ Tent Site no Meals Subtotal ] $195 [ # of people ] = [ Tent Site with Meals Subtotal ] 4. Did you want to have Off Campus Access: [ ] 1-2 Day Pass [ ] Multi-Day Pass $15 [ # of people days ] = [ Off Campus 1-2 Day Pass Subtotal ] $40 [ # of people ] = [ Off Campus Multi-Day Pass Subtotal ] $35 [ # of adult meal plans ] = [ Optional Add-on Meals Subtotal ] $30 [ # of child meal plans ] = [ Optional Add-on Meals Subtotal ] 5. $ [ Sum of all Subtotals tallied above ] [ Family Plan Discount: refer to Section I #9 for eligibility ] [ Off Campus Meal Discount: $25 off per 5 meal plans per adult ] [ Off Campus Meal Discount: $30 off per 5 meal plans per child ] 6. = [ TOTAL balance due ] ⅓ = $. [ Deposit Amount ] «ACCESSIBILITY AND ACCOMMODATIONS NOTES AND REMITTING PAYMENT»

6 PAGE 5 V. Notes and Remitting Payment Special Note: Because of the pricing structure of this facility, there can be no other discounts given. If you stay on campus, the price for one day or for all five days is the same. We encourage you, if at all possible, to make plans to attend the full session. Retreat Assistance Fund: If you would like to make a donation to help other families in need to attend the retreat, please indicate the amount here and include it with the payment you will remit for your deposit or total balance: $. PLEASE NOTE: We need a completed application with payment of at least ⅓ of your total retreat balance (refer to Section IV #6 ) in order to secure your room reservation! 1. Please indicate what part of your balance you would like to submit a payment for: [ ] I would like to deposit ⅓ of my balance. [ ] I would like to pay my balance in full. [ ] I would like to make another payment toward my balance. 2. Payment by Credit Card Form: [ ] VISA [ ] MASTERCARD [ ] DISCOVER Card or Account Number: Expiration Date: / [ MM / YYYY ] 3-Digit Security Code: Total Amount to Charge: $. 3. Additional Payment Options: Check or Money Order made payable to "Camp Meeting Account" PayPal via online at either apocalypseministries.org or molministry.com T No Cash Accepted at this time; no exceptions. Thank you! «PAYMENT CALCULATOR CLOSING REMARKS»

7 PAGE 6 VI. Closing Remarks All praise be to God for providing us with a place for our 10th Annual Camp Meeting Retreat; a place His providence arranged for us to also be in charge of the food preparations! May God richly bless you and yours as we earnestly prepare with much prayer for this year's retreat, reading and re-reading Early Writings, p Questions? Call: (931) or (256) «NOTES AND REMITTING PAYMENT LAST PAGE