Small Is Beautiful Workshop - May 21, 2005
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Registration Form
Name:
Address:
City:
State:
Zip:
Email
:
Phone
:
Alternate:
Congregation
:
City:
State:
Your title:
Minister
DRE
President
Other
Diet:
Omnivore
Vegetarian
Vegan
Special Needs:
(Dietary or Accessibility)
Cost:
Registration is $30 for first person from a congregation, $20 for second or more.
Total:
Credit Card Payment: You must pay by credit card to register online.
Type of Card:
Type of Card
Visa
MasterCard
American Express
Account Number:
Expiration Date:
Cardholder Name:
Cardholder Phone:
Cardholder Address:
Street:
City:
State:
Zip:
