11/17/12 "Mindful of Race - Toward Clarity, Courage, & Peace" one-day retreat

Welcome to EBMC's Event Registration System. Please respond to the following questions to register for the November 17, 2012 "Mindful of Race" One Day Retreat.

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1. First Name

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2. Middle Name

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3. Last Name

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4. Email address

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5. Postal Street Address

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6. City

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7. State

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8. Zip Code

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9. Phone Number

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10. How did you find out about this event?

From an email sent to me by EBMC

From the EBMC website

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From a friend, relative, or acquaintance

Other

If Other, please specify: