Prayer Breakfast with Andre Thornton 2018

Registration Form

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* 1. Contact Information (for the person purchasing the tickets)

Name *

Address *

Address 2

City *

State *

ZIP *

Email Address *

Phone Number *

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* 2. In the box below, confirm the name that will be on the payment paperwork so that this registration form can be correctly matched with its corresponding payment. (ex. PAID by John Doe.)

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* 3. How many Prayer Breakfast tickets will be purchased under your name?

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* 4. In the box below, list the names that will use the Prayer Breakfast tickets purchased under your name.

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* 5. If you have any questions about the Andre Thornton events, please enter them below, and a staff member will respond.

Please note that this online registration process is not finalized until payment is received. All fees for the Prayer Breakfast with Andre Thornton are non-refundable. Payment can be submitted online: https://tickets.lakesideohio.com.

You will receive an email confirmation when your registration is complete.