Crop Day to Aid Refugees -- Registration Form
9:00am - 9:00pm May 27th, 2017

Email address *
Number Attending *
First and Last Names *
Your answer
Contact Phone # *
Your answer
Do you need access to Power? *
Lovely Lunch and Hot Dinner Provided
Specialty Coffee Bar Open All Day for purchase
Dietary Restrictions: vegetarian, gluten-free, food allergy, or none *
Your answer
Payment Options: mailed to or in person at-- Emmanuel Church 2600 Hebert Rd. West Kelowna, BC V4T 2J9
Cheque: Payable to "Emmanuel Church" marked "Scrapbook" in memo line
Cash: Paid at Emmanuel Church Office
eTransfer: Security Word: scrapbook
Payment must be received for Registration to be confirmed. Thank you.
A copy of your responses will be emailed to the address you provided.
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