Please answer the follow questions to register for the Western H.O.P.E. Conference on June 22-23, 2015
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FIRST NAME

 
LAST NAME

 
PHONE NUMBER

 
E-MAIL

 
CHURCH NAME

 
STREET ADDRESS

 
MAILING ADDRESS

 
CITY

 
STATE

 
ZIP CODE

 
HOW MANY WILL BE ATTENDING WITH YOU?

 
WILL YOU BE STAYING FOR THE WHOLE MEEING?

     
 
IS THERE ANYTHING THAT WE CAN DO TO HELP YOU PREPARE FOR THE MEETING?

THANK YOU FOR REGISTERING, WE LOOK FORWARD TO SEEING YOU AT THE CONFERENCE!
GOOD BYE
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