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Form Instructions

CEC 2011 Registration:

Janet Williams
Ministry Assistant
Collegiate Ministries Department
Email: Janet.Williams@lbc.org
Phone: (318) 448-3402
Fax: (318) 445-0055

Or complete the following form.

Thank you

Registration Notes:

If you receive a error during submission of this form please contact us right away via our registration phone number listed to the left; or click our email address and submit your information via your mail program; or download a PDF copy of the form and fill it out and send it in via our fax number. Thanks!

Registration form - download

CEC 2011 Registration Form

 


Group leader name  

Email  

Contact phone number  

Church / Ministry  

Total number attending  

Number of college students ($30)  

Number of high school students ($10)  

Full name of each student / Year in school  

Comments  

 
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