Please fill out the form below. You will receive a confirmation once this has been submitted.
 
Personal Information
First Name
Last Name
Address
City
State
ZIP
Phone
Email
 
Your Church Information
Church Name
Pastor's Name
Church Address
City
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ZIP
Phone
Email
 
 

The cost is $30.00 per person, and is due by December 20, 2009.

Please send payment to:

St. Paul Lutheran Church
Attention: Lucille Collins, Leadership Conference
5725 South Marsalis Avenue
Dallas, TX 75241