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Fresh Start Online Registration - December 12, 2009
*
Required
Errors
First Name
*
Last Name
*
Email Address
*
Address Line 1
*
Address Line 2
City
*
State
*
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AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FL
FM
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MH
MI
MN
MS
MO
MP
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VI
VT
VA
WA
WV
WI
WY
ZIP Code
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This registration is for the Fresh Start Meeting scheduled for December 12, 2009
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Preferred Telephone #:
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Name of Church, City:
*
Which of the following best describes your position:
*
Rector
Vicar
Priest-in-Charge
Interim
Deacon
Sr. Warden
Jr. Warden
Treasurer
Vestry/Bishop's Committee Member
Other
As lunch will be served, please indicate any restrictions, allergies, or special needs you may have:
*
Note: There is no charge for this event, but we will ask for a free-will offering to cover event expenses at the service that is held at the end of the day's proceedings.
Last Published: November 2, 2009 3:45 PM
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