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B1 Event Registration
1. Default Section
1 / 1
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1
. Church/Organization Name
Church/Organization Name
2
. Annual Conference (if applicable)
Annual Conference (if applicable)
3
. Leader's Name
Leader's Name
4
. Leader's Title
Leader's Title
5
. Leader's Email Address
Leader's Email Address
6
. Phone Number
Phone Number
7
. How did you hear about the B1 Campaign? (check all that apply)
How did you hear about the B1 Campaign? (check all that apply)
Internet advertisement
Booth display at conference event
Annual Conference youth coordinator
Cokesbury bookstore display
other
8
. Date of B1 Event
Date of B1 Event
9
. Number of Participants
Number of Participants
1-10
10-25
20-50
Above 50
10
. Age of participants (Check all that apply)
Age of participants (Check all that apply)
11-13
14-18
18-23
23 and Above
11
. Advance Project Name
Advance Project Name
12
. Donation Amount Raised
Donation Amount Raised
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