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Assemblies of God Northern California and Nevada District

2006 Men's Conference: Registration Details

To register for the 2006 Men's Conference, please complete the following form. When you click the Submit button, you will be taken to a page which will enable you to add various options to our PayPal shopping cart. If you have any problems, please don't hesitate to .

It is very important that the details you enter here (name, street address, etc.) match the information you enter into the PayPal shopping cart on subsequent pages. This will allow us to match your registration details with your payment.

Name:

Street Address:

City:       State:       Zip Code:
         

Phone:

Email:

Home Church:

Number of Registrants

Names of Registrants
(separate names with commas)

Names of Equipping Session Attendees
(separate names with commas)

Golf Tournament Twosome or Foursome
If you will be participating in this year's golf tournament at Castle Oaks, please provide the names included in your twosome or foursome:

Show & Shine Car & Motorcyle Show
If you will be participating in this year's Show & Shine Car & Motorcyle Show, please specify whether your entry is a car or bike and provide the make and model:

Car    Bike    Make and Model:

Names of Car & Motorcycle Show Participants
(separate names with commas)