Women Alive! Registration
(You may print this order form by choosing "Print" under the file menu.)

[ ] Yes, I want to attend this exciting Women Alive! 2002
Enclosed is my:

[ ] $25.00 Pre-registration fee. I am registering before January 26th, 2002

[ ] $15.00 Pre-registration fee - Senior (65+) or Student

Make Checks payable to Mohr Ministries

Workshop Selection: (Optional)

Name:

Address:

City, State, Zip:

Home Phone:

E-Mail Address:

Home Church or Fellowship:

[ ] I'd like to help spread the word! Please send me ____ brochures.

 

Send completed order form along with payment to:

Women Alive! 2002
Mohr Ministries
P.O. Box 23298
Minneapolis, MN 55423

If you have questions please call us at Mohr Ministries (651) 686-4688
Or e-mail us at nomimohr@aol.com.

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