Legacy Coalition Registration Form
Please book for your conference by filling the form below
March 22, 2025
9:00 am - 4:30 pm
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
How Many grandchildren do you have?
Primary Church
Number of people attending
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you hear about us?
Use any major credit card / debit card.
Conference Costs & Lunch Options
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next
( X )
Conference per person
including a workbook
$
40.00
Conference per couple
with a workbook to be shared
$
75.00
Lunch Option 1
No thank you < I will be bringing a bag lunch.
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Lunch Option 2 (per person)
Soup, half sandwich, cookie
$
12.00
Quantity
1
2
3
4
5
6
7
8
9
10
Lunch Option 3 (per person)
Hummus and veggie platter, cookie
$
12.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
SUBMIT
Should be Empty: