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* 1. Please enter your full name:

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* 2. What is the name of your church?

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* 3. Please provide the full address of your church (Street, City, State, Zip Code):

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* 4. What is your phone number?

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* 6. Please select your preferred topic for Session 1

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* 7. Please select your preferred topic for Session 2

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* 8. Are you interested in attending the Monday night program about Church 360 software presented by Concordia Technology Solutions?

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* 9. Thank you for your registration! Email confirmation will be sent about one week prior to the conference.
Please prepay and send a check (include your name on memo line) in advance to:
Iowa District West, 409 Kenyon Rd, Suite B, Fort Dodge, IA 50501
to receive the best discount price.
If you have any other conference thoughts please share below or email Roger@IowaDistrictWest.org. Thank you!

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