2017 As One Marriage Festival & Conference REGISTRATION FORM
Event Date: July 21-22, 2017
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
Name (Last, First name)
Your answer
Spouse's Name (Last, First name)
Your answer
Your answer
Phone #
Your answer
Wedding Anniversary Date
Conference Attendance Option?
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 deposit. No refunds after July 1st. Final payment due July 7, 2017. I acknowledge and understand the registration terms.
A copy of your responses will be emailed to the address you provided.
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