Vegetarian Tasting & Health Fair Sunday, Nov 4 , 2018
Registration Form
FIRST NAME *
Your answer
Last Name *
Your answer
Address *
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City *
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Zip *
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Email address *
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I will be attending the session at: *
$8 per person if payment is received by 10/25/2018
$10 per person if payment is received after 10/25/2018
Children under 12 years old - $5 per child any time
Ticket prices at the door will be $10/adults and $5/children under 12
Number of Adults Attending: *
Number of children under 12 years of age Attending with you: *
Include names of the people attending with you (if any)
Your answer
If my payment is not received by Oct 25, 2018 *
Required
Mail your check to: Centerville SDA Church P.O. Box 750053 Centerville, OH 45475 Indicate "Vegetarian Tasting" in the memo. For more information feel free to call (937)-433-7007
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