ASLPN Oct 16 Attendance Registration Form
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Title
First Name
Last Name
Mailing Address Line 1
Mailing Address Line 2
City
State
Zipcode
Country
Telephone Number
Alternative telephone Number
Email
Website (if any)
Are you attending as?
1) Individual
2) Members of one household
3) Church/Ministry Group
If attending either as 2) or 3) above, how many people are in your group?
Your means of transportation to the event venue
Metro
Car/suv (4-7 passengers)
Van 8-20 passengers
Bus 21 plus passengers
Do you need assistance parking your vehicle?
Yes
No
Not driving
How did you hear about "Africa Prays for America" event?
Internet/website
Social Network (Facebook, Twitter, etc)
Flier
Church/Ministry announcement
Advertisement
Word of mouth
Your message (if any)
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