NCHO THINK TANK

Name / Nombre *

First Name Last Name

E-mail *

Email Address

Additional guest/ nombre adicional

First Name Last Name

Additional guest/ nombre adicional

First Name Last Name

Additional guest/ nombre adicional

First Name Last Name

Additional guest/ nombre adicional

First Name Last Name

Additional guest/ nombre adicional

First Name Last Name

Phone Number/ Teléfono *

Area Code Phone Number

Address / Dirreción *

Church you attend / Nombre de la iglesia donde usted se congrega
Home Address / Dirrecion de Su Hogar
City / Ciudad	State / Estado
Zip Code /Código Postal	Country / Pais

PAYMENT OPTIONS (To pay at the door, please do not choose options below.) *

Pay at the door. Pay online now.

ONLY CHOOSE THESE IF YOU WISH TO PAY TODAY: Cost: $10 per person Costo: $10 por persona

My NCHO Registration (GREENVILLE, SC) $ 10.00

NCHO Registration Additional guest (GREENVILLE, SC) $ 10.00

Total $ 0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Para cualquier pregunta o para más información, puede communicarse con Herb Taylor al (540) 660-1325 o puede mandar un email a nchothinktank@gmail.com.

For further questions, please contact Herb Taylor at (540) 660-1325 or email nchothinktank@gmail.com.

DO YOU WISH TO DONATE TO OUR NCHO THINK TANK EXPENSES?

Please visit Donate to Hispanic Think Tank. Click on the BLUE Donate button under "Credit Card Gift", then "choose a fund" to donate to the Hispanic Think Tank.

Thank you for your help! Gracias por su ayuda.

The NCHO - National Conference on Hispanic Outreach - (a Think Tank) will be held in Greenville, SC on October 4, 2019. For more information: www.nchothinktank.com.

El NCHO Hispanic Think Tank es el 4 de octubre de 2019 en Greenville, SC. Para más información: www.nchothinktank.com.

NCHO Think Tank - Greenville, SC