LPDN and Southwood Baptist Church’s
Financial Workshop Registration
Thursday, October 20, 2016
7 to 8:15pm
You can also pre-register for Dinner at 6pm by October 14th.
 
 
 

    Your Last Name*

    Your First Name*

    Spouse's Last Name*

    Spouse's First Name*

    Street Address*

    City*

    State*

    Zip Code*

    Contact Daytime Phone*

    Contact Cell Phone*

    Email*

    If you will be needing childcare, please list the names and ages of your child(ren)*

    Would you be interested in attending a complimentary dinner at 6pm?* (Please answer yes or no.)

    If so, please let us know how many to expect.* (Please enter 0, if not.)

    Note: Since all fields must be completed, please type any character for fields that don't apply to you.

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