2019 Asia Interface - Conference Registration Form
Email address *
Asia Interface Lunch - Omaha, NE, May 17-19, 2019
Please fill out the information below to register for the 2019 Asia Interface meeting which will be during either breakfast or lunch. The Asia Interface time will be held during the Bridge Builders West Conference.
First and Last Name *
Your answer
City, State *
Your answer
Email *
Your answer
Phone Number *
Your answer
Church Name *
Select State, City - Church Name. If not in the list, select other.
Host housing is limited. Please check one of the options below. *
If married, list spouse and any children that will be attending with you.
Include child's name, age along with (male or female): Example: Xiaoping Lu (female), Daniel (male, 9), Grace (female, 12)
Your answer
Any additional information you want Bridge Builder organizers to know?
Your answer
A copy of your responses will be emailed to the address you provided.
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