JOHN 6:35 RETREAT REGISTRATION
September 26-28, 2008
Raleigh, NC

Registration Fee $35.00

Space is limited...reserve your spot today!

*First Name:
*Last Name:
*Gender:
*Date of Birth   , 
*Address:
*City:
*State:
*Zip code:
*Email:
*Phone:
Parish Affiliation:
Add T-Shirt ($5.00):
T-shirt Size:
*Payment Method: Secure On-line Credit Card (Discover/MC/Visa)
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