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Tres Dias Contact Information
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First Name *
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Last Name *
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Street Address *
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City or Town *
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State *
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Zip Code *
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Home Phone *
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Cell Phone *
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Home Church *
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Church City *
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Spouse
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Date of Birth *
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Tres Dias Sponsor *
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Pilgrim Weekend *
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Table Name *
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Pastor (Y/N) *
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