Registration

Feel free to make copies if you need more registration forms.

1. Name


2. Ministry Involvement [Please indicate]


3. Church


4. Mailing Address [Address at which you receive mail]


5. Office Phone


6. Home Phone


7. Pager


8. Fax




FOR OFFICIAL USE ONLY
REGISTRATION NO:
PAYMENT RECEIVED:

DATE RECEIVED:
CHEQUE NO:


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Created on: Monday, June 16, 1997 3:34:00 PM