EmailMe Form - REGISTRATION FORM

AMEN REGISTRATION FORM

Name *

First

Last

Events Attending

Nov 5- Goshen/Visalia

Nov 12- Imperial Beach

Branch of Service *

Curren Rank/ Rank when Detached *

Email *

Phone *

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Name of Church Attending

Complimentary Dinner for *

Vet only

Veteran and Spouse

Veteran and Guest

Number of Guests coming
(aside from Vet and spouse/guest)
$10/person pay online
via the "Donate" button below
or cash/check at the service *

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