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Palmcon 4 | Registration
Please complete the form as fully as possible
Name
Address
Email
Code
Select
Phone
If your spouse will be participating in the conference, please check here and write his or her name below.
Spouse Name:
Name of the Church or Organization where you serve:
My first language is Spanish and I need translation headphones for the English presentations
My spouse’s first language is Spanish and he/she needs translation headphones for the English presentations
Registration Information
Please check the appropriate box to describe your area of ministry:
Clergy
Educator
Student
Lay Worker
Other
Admission fee for this course is $10
Course Level
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