Ladies Conference 2023, "Treasures" July 13 - 15, 2023 (Single Service Form)
Please fill out this form and click submit.
Single Service Form
Name/Nombre
*
Phone/Teléfono
*
Address/Dirección
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Email/Correo electrónico
*
This address will receive a confirmation email
Breakout Sessions/Sesión de Viernes
*
Please select one option.
None
Select Option
None
Today's Date/Fecha de hoy
*
Church Attending/ Iglesia que asiste
*
Pastor's Name/Nombre de su pastor
*
Notes/Notas
Payment/Pago
Adults/Adultas - Thur Evening ($25 )
Ages 13-17/Edades 13-17 Thur Evening ($20)
Adults/Adultas - Fri Morning ($25)
Ages 13-17/Edades 13-17 Fri Morning ($20)
Adults/Adultas - Fri Evening ($25)
Ages 13-17/Edades 13-17 Fri Evening ($20)
Adults/Adultas - Sat Morning ($25)
Ages 13-17/Edades 13-17 Sat Morning ($20)
Adults/Adultas - Thur Evening ($25 )
Ages 13-17/Edades 13-17 Thur Evening ($20)
Adults/Adultas - Fri Morning ($25)
Ages 13-17/Edades 13-17 Fri Morning ($20)
Adults/Adultas - Fri Evening ($25)
Ages 13-17/Edades 13-17 Fri Evening ($20)
Adults/Adultas - Sat Morning ($25)
Ages 13-17/Edades 13-17 Sat Morning ($20)
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
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