Conference Registration Form - First United Reformed Church

First United Reformed Church of Chino, California


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Conference Registration Form

Registration Information:

Name (as you want it to appear on your name tag):

If applicable, please list the names of those who will be attending with you in the area below. Please use a seperate line for each additional person.

Address:

City:

State/Province:

Zip/Postal code:

Under which category are you registering?

(1 required)

	Single
	Couple
	Student

Would you join us for our complimentary Saturday morning breakfast from 7:30 to 9:00 in the Fellowship Hall?

(1 required)

Yes

Do you plan on joining us for lunch on Saturday?

(1 required)

Yes

How did you hear about the conference?

* Enter Your Email Address:

Type in the text that you see above: