MARRIAGE CONFERENCE REGISTRATION
Event: April 13 to 15, 2023 | Contact us at (501) 226-4952 or shawnconrad@cmchurch.com
Husband's Name
*
First Name
Last Name
Husband's Mobile Number
*
-
Area Code
Phone Number
Wife's Name
*
First Name
Last Name
Wife's Mobile Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
Church You Attend?
*
Is this your first Marriage Conference to attend?
*
Yes
No
Marriage Conference Cost $275 (Does not include hotel stay)
*
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Payment in Full
$
275.00
(Must pay in full as of March 1st)
Total
$
0.00
Credit Card
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*
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