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women's conference registration

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

Special Needs:

(Handicap, Signing, food, other)

Church Affiliation:
Emergency Contact Name:
Emergency Contact Phone:
Emergency Contact Relationship:

 

Women's Retreat Payment May 2-3, 2008

            

Women's Full Conference             $95.00:  

(All meals and sessions as noted on schedule)

Friday Conference Package          $55.00:  

(Dinner, Opening Session and Ice Cream Social)

Saturday Conference Package      $60.00:  

(Morning Coffee w/Pastries, Lunch and all sessions)

(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: Women's Conference

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