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Abundant Life Registration Form
Name:
Street Address:
City, State & Zip:
Phone Number:
E-mail Address:
Church Name:
Select Payment Information:
I will mail my $20 fee by 2/5/2010.
I will mail my $25 fee after 2/5/2010.
I will pay my $25 fee at the conference on 2/26/2010.
Please Select One:
Pastor's Wife
Assistant Pastor's Wife
Teen
Other
For questions regarding the Ladies' Conference or registering online, please call Victory Baptist Church at (843) 395 - 0093.