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Give Me My Mountain Conference
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April 25-26, 2008
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Registration Form
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Name
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Address
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City
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State
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Zip
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Telephone
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Email
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Number
of Conference attendees?
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$79
per person
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Please list additional registrations on a separate sheet and attach
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Payment
Information
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Check
enclosed payable to: New Hope Christian Church
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Check #
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Check amount
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Mastercard
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Visa
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Credit
card number
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3
digit # on back
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Name
on Card
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Billing
Address of Card
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Expiration
date
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Amount
charged
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Signature
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**Please
scan & email to cheryl@newhopechristian.org or fax to
972-429-9788
or call 972-429-0868 to register.
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For Office Use Only:
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Date
Entered:
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Capture
Number:
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Reference
Number:
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By:
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