conference registration form
10th Annual “Gertrude Gaston”
Widows Prayer Gathering and Conference
Registration Deadline May 10, 2010
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