Merced Coffee Break Training Registration

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Please use this form to register yourself or your Coffee Break group for the upcoming training in Merced. Sam Huizenga will be the facilitator, and the details are listed below.

Date & Time: Tuesday, November 29, from noon - 3:00 pm

Location: Yosemite Church (2230 E Yosemite Ave, Merced, CA 95340)

Registration fee: $25 per person
Please bring a check or cash to the event for your payment.
If paying with a check, please make it out to Christian Reformed Home Missions, and note Coffee Break Training Merced on the memo line.

Your Name *

Your Email Address *

Your Phone Number *

Your Church/Organization *

What is your role in your Coffee Break / Bible study group? *

Please list the names and email addresses of everyone you are registering for this training: *

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