Great Plains Small Church Conference Registration
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Contact info
First Name *
Last Name *
Address *
City *
State *
Phone number *
E-mail
Preferred contact method *
Required
Spouse (If Attending)
Spouse E-mail
Roommate Request (if your spouse is not attending)
Registration *
If you have a discount code, please type it below.
May 4th Check in 3:30 PM – 5:30 PM                          Dinner at 6:00 PM                                                                    
Questions and comments
Please note: There will be a link to the payment page after you submit the form
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