Waiting, Dating, & Mating Conference
Registration Form
THE Conference Is FREE! The Conference is Free! You may purchase WDM Book $10 and the Forbidding to Marry DVD $15 at the Conference.
Your Name
*
Your Email Address
*
Phone Number
*
Mailing Address
*
Conference Registration
*
One Adult
One Adult and Copy of Waiting, Dating, & Mating Book
One Student
One Student and copy of Waiting, Dating, & Mating Book
Conference interest
Waiting
Dating
Mating
Marital Status
Single (never married)
Single (Divorced)
Single (widowed)
Single (living w/mate)
Engaged
Married (less than 7 years)
Married (less than 18yrs)
Married 18 years+
Buying a DVD "Forbidding to Marry" $15
Yes
No
Don't Know
Name of Church/Organization
AGE
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