Welcome to Bethel Baptist Church - Women's Conference Registration


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A registration form must be filled out for each individual attending
the conference. Please complete all information.

*Name
*Phone Number
*Address Line #1
Address Line #2
*City
*State
*ZIP
*Email
Church Name
Church Address
*Please mark the days you will attend:	Friday and Saturday ($25) Friday Only ($9) Saturday Only ($19)
	I will need a deaf interpreter
	I am interested in making a set of bead earrings on Friday evening


*Required Field

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