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    02 Las Vegas Registration Form

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    api-3699829
    1) The document is a registration form for an Original Divine Principle Workshop from August 6-10, 2009 hosted by the Family Federation for World Peace and Unification. 2) It requests contact information, arrival and departure flight details, sleeping room preferences, emergency contact, and signature of the registrant. 3) Participants can submit the form by mail, email, or fax by July 26th.

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    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd

    02 Las Vegas Registration Form

    Uploaded by

    api-3699829
    8 views1 page
    1) The document is a registration form for an Original Divine Principle Workshop from August 6-10, 2009 hosted by the Family Federation for World Peace and Unification. 2) It requests contact information, arrival and departure flight details, sleeping room preferences, emergency contact, and signature of the registrant. 3) Participants can submit the form by mail, email, or fax by July 26th.

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    02LasVegasRegistrationForm

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    1) The document is a registration form for an Original Divine Principle Workshop from August 6-10, 2009 hosted by the Family Federation for World Peace and Unification. 2) It requests contact information, arrival and departure flight details, sleeping room preferences, emergency contact, and signature of the registrant. 3) Participants can submit the form by mail, email, or fax by July 26th.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    8 views1 page

    02 Las Vegas Registration Form

    Uploaded by

    api-3699829
    1) The document is a registration form for an Original Divine Principle Workshop from August 6-10, 2009 hosted by the Family Federation for World Peace and Unification. 2) It requests contact information, arrival and departure flight details, sleeping room preferences, emergency contact, and signature of the registrant. 3) Participants can submit the form by mail, email, or fax by July 26th.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 1

    Family Federation for World Peace and Unification

    Original Divine Principle Workshop, Aug. 6-10, 2009


    Registration Form
    Submit by Sunday, July 26 via mail to FFWPU, 1510 Midway Ct., Unit E101, Elk Grove
    Village, IL 60007 or by email: [email protected] or by fax: 847-357-1874

    Your Name Gender: Male Female


                     
    First Name Middle Name Family Name

    Badge Name — as you would like to see it on your Name Badge


               
    Honorific Full Badge Name

    Your Organization:      

    Your Position:      

    Mailing Address:            


    Street Name and Apt. No. City
                     
    Country State Zip Code
                     
    Cell Phone Home Phone Office Phone
               
    Office Fax Email Address

    Flight Arrival in Las Vegas, NV


               ________            
    Arrival Airport Arrival Date Arrival Time Arrival Airline and Flight #

    Flight Departure From Las Vegas, NV


               _________            
    Departure Airport Departure Date Departure Time Departure Airline and Flight #

    Sleeping Room Single Room – I will pay an


    Roommate requested:       additional $200 for the Workshop

    Emergency:                  


    Contact Person Name Cell Phone Home Phone
    Email Address:      

    Guest Signature:            Date:      


    Sign if by fax. If submitting by email, type in name.
    Invited By:            
    Name Cell Phone
    Home Tel:       Email:      

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