conference registration form

 

9th Annual “Gertrude Gaston”

Widows Prayer Gathering and Conference

Registration Deadline May 12, 2009

 

Name____________________________________________________________

 

Address__________________________________________________________

 

City______________________________State________Zip_________________

 

Phone_____________________Email__________________________________

 

Church___________________________________________________________

 

City______________________________State_______Zip__________________

 

Street Address_____________________________________________________

 

Church Phone_______________  Pastor’s Name__________________________

 

____I am a Widow                                ____I am NOT a Widow