Event registration - URCNA Missions and Pastors Conference 
WHEN:  March 27th - 30th
WHERE: Bonclarken Conference Centre, 500 Pine Drive, Flat Rock, NC 28731
CONTACT:  urcnamissions@gmail.com

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Email *
Name of attendee (and spouse) *
What church  do you attend? *
What position do you hold in the church: *
What is your mailing address *
Who will be attending (fee covers 3 nights, 8 meals)? 

If attending as a family, how many children?  Provide ages and how many meals they will attend. *
Dietary restrictions *
I understand that I will pay the full amount in US dollars in cash or check (USD) upon arrival. *
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