Name

First Name

Last Name

Spouse

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell #1

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Cell #2

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Church Name

Number of People Attending Sunday Evening (5:00 PM) Buffet ( salad, grilled chicken, rice pilaf, green beans, rolls, lemonade and iced tea) $25 per person. Call 614-259-1344 for Financial Assistance.

Number of Children Attending Kids Conference

Number of Youth attending Youth conference

We Look forward to seeing you at Conference 2025 July 3rd-8th, in Columbus, Ohio.