CROSS EXAMINED seminar registration

Last Name                     

 

First Name                      

 

Street Address             

 

City                              

 

State                            

   

Zip Code                      

 

Phone Number home  cell  work  (eg. 972-727-4512)

 

Email Address              

 

Number attending        

 

Child care needed        yes    no  

                                       child's first name       age

 

                                      child's first name       age

 

I understand that the CROSS EXAMINED seminar registration fee is $20.00 per person and will include lunch.  My registration will be confirmed when payment is received.  I will mail hand deliver registration fee to Grace Church, 2005 Estates Parkway, Allen/Lucas, TX.

 

Please make all checks payable to Grace Church.

 

 

Thank you for using the Grace Church online CROSS EXAMINED seminar registration.  We look forward to seeing you on February 7, 2009 at 9:00 AM.