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Join us as we welcome

Dr. Ben Carson

 

Registration Deadline is February 17, 2023
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First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
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First Name
Last Name

First Name
Last Name

First Name
Last Name

First Name
Last Name

First Name
Last Name

First Name
Last Name

First Name
Last Name

First Name
Last Name

First Name
Last Name

First Name
Last Name

Do you or any of your table guests require a special diet? Gluten free, Lactose intolerant, vegetarian)


First Name
Last Name

First Name
Last Name

First Name
Last Name

First Name
Last Name

First Name
Last Name

First Name
Last Name

First Name
Last Name

First Name
Last Name

First Name
Last Name

First Name
Last Name

Do you or any of your table guests require a special diet? Gluten free, Lactose intolerant, vegetarian)
$

Please provide us with the name and address of this individual
$

Please provide us with the name and address of the Individual/Pastor/Priest/Church or School
$