Jesus Christ, The Gospel, and America

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2022-02-12 Jesus Christ, The Gospel, and America Registration Form

First Name

Last Name

Phone/Mobile

Address

Address Line 1

Address Line 2

City

State

Zip Code

Number of Additional Guests

Guest 1 First Name

Guest 1 Last Name

Guest 1 Phone

Guest 1 Email Address

Guest 2 First Name

Guest 2 Last Name

Guest 2 Email Address

Guest 2 Phone

Guest 3 First Name

Guest 3 Last Name

Guest 3 Email Address

Guest 3 Phone

The information provided in this section will assist us with the verification process. Thank you for your understanding.

This is a private event. Registrations will be approved upon verification. Venue details will be sent to you directly.

Please provide a link or handle to one of your social media profiles:

How did you hear about this event?

What do you hope to gain from this event?

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