Bedico Baptist Ladies Luncheon          REGISTRATION FORM
LOCATION:  Family Life Center, 28156 Hwy 22 East, Ponchatoula, LA
DATE & TIME:  October 18, 2020 at 12:00 PM

Bring a friend.  Kids are welcome.  So we have an accurate headcount and know how many to prepare for, please let us know the number of guests we can expect.
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LAST NAME *
FIRST NAME *
INCLUDING YOURSELF, HOW MANY WILL YOU BRING? *
E-MAIL ADDRESS *
YOUR MAILING ADDRESS
I'D LIKE TO RECEIVE EMAILS ABOUT UPCOMING FAMILY EVENTS (i.e., Vacation Bible School, Back-to-School Bash, Family Fall Festival, Women's Night, etc.)! *
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