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men's retreat registration

First Name
Last Name
Address:
City:
State:
Zip:
Phone:
Email

Special Needs:

(Handicap, Signing, other)

 

Men's Retreat Payment April 18-19, 2008

               (Select Options)

Men's Retreat           $199.00:  

Men's Retreat 1 day  $140.00:  

Men's Retreat Golf      $75.00:  

(If paying by check DO NOT click on Add To Cart button see below)

 

To Pay by check: print registration (using your browser)

and mail to:

    Antioch Baptist Church

     6531 Little Ox Rd

     Fairfax Station, VA 22039

Attn: Men's Retreat

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