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DMC Retreat Registration  

 
 

 
Missions Chair Retreat Registration
Saturday November 15th 2008
Georgetown Alliance Church
 
Please complete the following registration form.  You will recieve an email confirming we recieved your registration.  All of the information we recieve from your registration will remain confidential.
 
If you would like to mail your registration fee, please send your cheque or money order to
Cheryl Walsh
Central Canadian District of the C&MA
155 Panin Rd.
Burlington Ontario
L7P 5A6
 
*Title:
*First Name:
*Last Name:
*Address:
*City:
*State/Province:
*Zip/Postal Code:
*Email Address:
*Phone:
*Church Name
*Your Position
*I will be attending the DMC Retreat
Please list Names and Position of Other Attendees
Will Pay at Conference Yes
No
  
 
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