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Registration
Name
*
First Name
Last Name
Email
*
Verify Email
*
Phone
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Registration Includes
Annual Gathering Activities
BWIM Documentary Premiere
All worship and plenary sessions
Dinner Monday night
Banquet Dinner on Tuesday Night
*Optional event activities and other meals not included.
Registration
*
Quantity
$150
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Full event registration
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10
$15
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Ticket for BWIM Documentary Premiere only (Included in Full event registration- Do not need to purchase if you purchased a full event registration)
0
1
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$60
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Ticket for Banquet honoring BWIM’s Foremothers (Included in Full event registration- Do not need to purchase if you purchased a full event registration)
0
1
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9
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10
If you are purchasing more than one ticket, please list additional guest names here.
For the banquet dinner, please list any dietary needs here (vegetarian, gluten-free, dairy-free, etc.)