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Information | Registration | Augustana Lutheran Church

Dwelling in the Word

Saturday, April 27, 2013, 9 a.m.–3 p.m.
Fellowship Hall, Augustana Lutheran Church

Registration of $30 payable to Augustana Lutheran Church includes the workshop, lunch, snacks, child care, and Dwelling in the Word pocket handbook.

Registration


First Participant

Name
Prefix
First
Last
Suffix
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Email
Phone

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-
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-
####
Congregation Affiliation:

Second Participant

Name
Prefix
First
Last
Suffix
Email
Phone

###
-
###
-
####
Congregation Affiliation:

If you require child care, please indicate the names and ages of your children to the right. (Children will join their parents for lunch.)
If you have particular dietary allergies or needs, please indicate that here.

Registration

$30 per participant *
$
Dollars
.
Cents
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