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Micro-Church Workshop Registration

Name:*

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Last

Spouse Name:

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Last

Address:*

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Cell:*

Area Code

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Phone Number

E-mail:

Total # of Adults Registering:*

Questions or Comments:

HOTEL/CAMPING OPTIONS

Hotels:

AmercInn - 4712 E Grand Ave, Laramie, WY 82070

$109.90/night + tax
Amenities - Hot Breakfast, Fitness Center, Pool, Hot Tub
- Use this link to reserve rooms: AmericInn Link

Camping;

KOA Campground - Call 307-742-6533 to make your own reservation

PAYMENT SECTION

$149/person
$250/couple

Total Amount:

$

Dollars

Click the submit button below to have your registration submitted and be redirected to the PayPal site.