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Partnering Church Sign
Up Form |
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Please print this form using your
web browser's print function. After you fill out the form,
please mail it with your payment
to:
The Philadelphia Alpha Conference
c/o Tom Davis
Station Square Three
Suite 210
Paoli, PA 19301
Note: Please
make the check payable to The Philadelphia Alpha Conference.
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Alpha
Partnering Church Promise
_____ Yes, we would like to be a partnering church for
The Philadelphia Alpha Conference
to be held May 30-31, 2002.
First Name: _____________________ Last Name: _______________________________
Name of Church: __________________________________________________________
Address: ________________________________________________________________
City: ___________________________________ State: ____
Zip Code: ________-_____
Email Address: ___________________________________________________________
Daytime Phone: ____________________ Evening Phone: _________________________
Fax: ___________________________________________________________________
Check for $250 enclosed: ________
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