the church @ War Hill : Women's Conference '10 Registration


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Women's Conference '10 Registration

Registration Information
Name:
Address:
City:
State:
Zipcode:
Daytime Phone:
Email:
Payment Information
Conference Fee:	$20 through March 28^th / $30 after March 28^th per ticket.
Total # of Tickets:
Lunch Fee:	$8.00 (chicken salad croissant, pasta salad, chips, cookie, fruit, water or soda)
Total # of Lunches:
Credit Card:
Card Number:
Expiration Date:	/ (mm/yyyy)
Name on Card:
Billing Address:
Billing City:
Billing State:
Billing Zipcode:


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