Value Conference - September
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Our next Value Conference is Saturday, September 10th, from 10 AM - 4 PM. Childcare will be provided. Tshirts are available for purchase.
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Registration Option
No tshirt ($5)
1 tshirt & Registration ($25)
No tshirt ($5)
1 tshirt & Registration ($25)
Amount
Tshirt Size
Please select one option.
No Shirt
Small
Medium
Large
X Large
2XL
3XL
4XL
Select Option
No Shirt
Small
Medium
Large
X Large
2XL
3XL
4XL
Child Care - Names and Ages
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
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