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Conference Registration

Event: “Keep Coming Back to the Altar” Conference 2018
Date: March 16 – 18, 2018
Place: Doubletree – 5801 Southfield Rd. Dearborn, MI 48126

Instructions: To register for the conference, please fill out the form below. You can register up to 4 people at a time. After you have submitted your registration, you will be instructed on where to submit your payment. Any submissions received without an associated payment WILL NOT be accepted as a valid registration.
Number of Attendees*
Attendee 1 - Name*
First Last
Attendee 1 - Email*
Attendee 1 - Phone*
Address Attendee 1*
Street Address Address Line 2 City State ZIP Code
Registration Type
Attendee 2 - Name
First Last
Address Attendee 2
Street Address Address Line 2 City State ZIP Code
Registration Type
Attendee 3 - Name
First Last
Address Attendee 3
Street Address Address Line 2 City State ZIP Code
Registration Type
Attendee 4 - Name
First Last
Address Attendee 4
Street Address Address Line 2 City State ZIP Code
Registration Type

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