Template Pymnt Reg Form | Alpha New England

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Alpha New England
Training & Support
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Registration

Event Title

Event Date

Registration fee of $___helps to cover training expenses, materials and lunch. For this reason, we are not able to refund cancelations made _____or later.

First Name

Last Name

Email

Phone

Church or Organization

What is your Role?

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

Special needs: Please help us to serve you well by letting us know of any food allergies or accessibility needs.

Thanks for submitting!

Alpha New England - 401 Edgewater Place, Suite 580, Wakefield, MA 01880

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