TO REGISTER AFTER NOVEMBER 3, call 423-756-2021, ext. 3123.
Please print the following information: Rev. Dr. Mr. Mrs. Ms.
First Name _____________________________ Last Name ___________________________________
Address ___________________________________________________________________________
City __________________________________________ State ___________ Zip _________________
Phone _____________________ Email Address ___________________________________________
Special Needs _______________________________________________________________________
| |
Registration |
| Fee per person |
$75.00 |
(Please make checks payable to Holston Conference.)
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