Priscilla Shirer Simulcast Registration
@ LifeSong Church (May 4-5)
Name
*
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*
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*
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Street Address
Street Address Line 2
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T-Shirt Size (only if your ticket includes)
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XL
XXL
XXXL
Special Requests/Concerns
Payment Information
Payment must be made in order to complete registration. Thanks!
Event Tickets (please select one)
*
Event, Meals & Snacks
$
30.00
Event, Meals & Snacks, T-Shirt
$
50.00
Credit Card
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