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*Note: YOUR REGISTRATION WILL NOT BE COMPLETE UNTIL YOU HAVE
COMPLETED THE TRANSACTION THROUGH PAYPAL. Use this Paypal Donate button to
make payment for $10. This covers lunch, and snacks
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Name:
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Title:
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Spouse's Name
(if attending):
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I'm also registering
for these people:
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MY Email:
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Church , Business or/
Organization Name:
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Phone:
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Area of Interest, (Eg,
prayer, compassion,
pastors' gp., family,
business, etc.)
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Sponsorship Opportunity
I/We would like to donate an additional amount of
$_____________. (Amounts donated over the lunch
cost are tax deductible)
I offer to donate the following professional services or
items for the CIR (describe)
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Questions, comments, or feedback:
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Having problems? Click
here to proceed
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