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Alpha Philly 2002 Alpha Conference


Partnering Church Sign Up Form  
  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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