Arkansas OTL Summit Registration
October 28 & 29, 2016
Saint Mark Baptist Church, 5722 W 12th St, Little Rock, AR 72204

* PLEASE NOTE: Registration is free and covers all presentations, workshops, and meals at 
the summit location. Registration forms must be submitted by October 14, 2016 *

Name
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Address
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City
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State
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Zip
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Phone
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Email (We will be providing further information on the event via email)
Your answer
I am interested in attending the following workshops:
For questions:
Please contact: Ana Phakhin at ana@arpanel.org 
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