2018 As One Marriage Festival & Conference REGISTRATION FORM
Event Date: July 20-21, 2018
Event Address: Pacific Palms Resort, Golf, Conference Center, One Industry Hills Parkway, City of Industry, CA 91744
Contact us at (310) 686-3974 or asoneministry@mail.com
Email address *
Husband's/Fianc'e Name (Last, First name) *
Your answer
Wife's/Fianc'ee Name (Last, First name) *
Your answer
Address *
Your answer
Phone # *
Your answer
Wedding Anniversary Date
Conference Attendance Option? (**$50 Cost increase after June 1st**) *
Conference T-shirt
Conference T-shirt sizes (1 for you and 1 for spouse)
Small $15
Medium $15
Large $15
XL $15
2XL $17
3XL $18
Women's Cut
Dietary restrictions *
Special Needs (Handicap room, medical, etc...)
Your answer
A minimum $75 registration fee is required to reserve your spot (non-refundable). Conference cancellation will be refunded less the $75. No refunds after July 1st. Final payment due July 7, 2018. I acknowledge and understand the registration terms. *
A copy of your responses will be emailed to the address you provided.
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