Registration Form

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Registration Form

Please complete this registration form. We will contact you by phone to confirm your reservation and to process your payment within the week.

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* Indicates required question

Retreat cost: $40.00 (total)

First Name *

Your answer

Family Name *

Your answer

Street Address *

Your answer

City *

Your answer

State / Province *

Your answer

Country *

Your answer

Telephone *

Your answer

Email address *

Your answer

Church affiliation *

Your answer

Would you be interested in a ZOOM virtual platform training session? *

Yes

No

How would you like to pay? *

Cheque

Credit card

Submit

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