2019 Men's Western Conference
May 4-5, 2019
St. Joseph Catholic Church
1791 Marshall Road
Vacaville, CA 94687
Registration Fee: $100
Registration table opens at 5:00PM on May 3, 2019 and 7:00am on May 4, 2019 with Breakfast
Conference officially starts 8:00 am on May 4, 2019
Email address *
First Name *
Your answer
Last Name *
Your answer
Phone Number *
Your answer
Conference T-Shirt Size
Extra Conference T-Shirt $10
Region
Cluster
Your answer
Ministry
Emergency Contact Person
Your answer
Emergency Contact Phone number
Your answer
Payment
Important Note
Please make check payable to COUPLES FOR CHRIST
On the memo line, write MEN'S CONFERENCE
and mail signed check to:

2019 Men's Western Conference Secretariat
c/o ESTHER ONG
235 Brighton St.,
Hercules, CA 94547
estherto@comcast.net

Conference Contact Information
Men's Western Conference Registration Committee
Sis Esther Ong
510-799-9213
estherto@comcast.net


Vic Lladoc
916-307-3060
vlladoc@hotmail.com

A copy of your responses will be emailed to the address you provided.
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