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
Address
Your answer
Phone #
Your answer
Wedding Anniversary Date
MM
/
DD
/
YYYY
Conference Attendance Option?
Required
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
Men's
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.
Required
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms