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Event Registration

P.U.R.E. Celebration - South

7:00 pm Tuesday, June 29, 2010
Gwinnett Arena, Atlanta, GA
Special guest: Sarah Palin
P.U.R.E. Ministry Registrants
(NOT Pastors or P.U.R.E.):
Quantity:
Total Amount: $0.00
Enter the First and Last Name of each attendee, one name per line:

Number of Pastors (Free):
Name(s):

Number of P.U.R.E. People/Parents :
Name(s):
 Special Handling
Special Handling Comments:

Your Contact Information

If you are paying, this will also be your Billing Information.
First Name:
Last Name:
Address:
Address2 :
City:
State:
Zip:
Phone:
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Type of Card:
Credit Card #:
CVV2:
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