Connections Book Club Fall 2023

Fall 2023

Registration Form

The Daniel Plan: 40 Days to a Healthier Life

Thursdays at 7pm

September 21st - November 9th

Name

First NameLast Name

Phone Number

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Are you a REST Connection Mentor?*

YesNo

Do you plan to attend weekly dinner at the Nest?*

YesNo

The cost of this book is $17.99. (A limited amount of copies are available for those truly in need.) Please indicate below if you need assistance purchasing your copy.*

I will purchase my own copyPlease consider me for financial assistanceI would like to contribute to the Connections Book Fund*

Consent to Receive Electronic Communication*

I authorize REST Connection to send me email and text communications pertaining to the above session of Connections Book ClubPlease sign me up to receive periodic information and updates about REST Connection, including but not limited to upcoming events, fundraising opportunities, and volunteer programs.

Signature*

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