HEARTS ON FIRE XXIII - REGISTRATION FORM - NOVEMBER 20-21, 2009
Contact Name:
Telephone:
Church Name:
Fax:
Address:
City, State
Zip
:
E-Mail Address:
Number Attending:
x $25.00 each.
NEW DVD PRE-Order:
x $20.00 each.
T-Shirt Order:
Sm
Med
Lg
XL
XXL
XXXL
(x 15.00 each.)
T-shirt quantities will be limited at the event. Purchase while supplies last!
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