UNPLUGGED Registration & Shirt Order
Please register your Youth Group below
Church Name & Youth Pastor
*
Church Name
Youth Pastor Name
Email
*
example@example.com
Youth Pastor Phone #
*
Registration and T-Shirt Order
*
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( X )
Total Attending Unplugged
This is your ticket which includes lodging, T-Shirt, & food. Leader(s) also need to register
$
185.00
Quantity
Unplugged T-Shirt XS
$
Free
Quantity
Size
XS
Unplugged T-Shirt S
$
Free
Quantity
Size
S
Unplugged T-Shirt M
$
Free
Quantity
Size
M
Unplugged T-Shirt L
$
Free
Quantity
Size
L
Unplugged T-Shirt XL
$
Free
Quantity
Size
XL
Unplugged T-Shirt XXL
$
Free
Quantity
Size
XXL
Unplugged T-Shirt XXXL
$
Free
Quantity
Size
XXXL
How will you be making payment? Invoice will be emailed following submission
*
Check (make checks payable to Valley Church. Mail to 8100 Angel Ln Roanoke VA 24019)
Card (surcharge will be added)
Order Now
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