CRYOUT MINISTRY OUTREACH
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Welcome
CAMP 2012 REGISTRATION
REGISTRATION FORM
*
Indicates required field
Name
*
First
Last
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Telephone
*
website
*
Choose as applicable
*
I will attend CAMP 2012
I want to register as a Volunteer
I want to send support (books, food, etc, specify
Send me CRYOUT Magazine
I am interested in the Conference
I am interested in the Mission (Village/ Refugee Camp)
I am interested in the Prison Outreach
How many of you?
*
1
2-5
5-10
a team
Do You need a Visa to attend?
*
Yes
No
Dont Know
Hotel Booking
*
Yes
No
Dont Know
Comment
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