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Conferencias Regionales/ Regional Conferences - 2012
“ Hombres Fieles / Faithful Men"

Step 1: Registration

Your Name *
Address
City
State
Zip
Email Address
Phone Number *
Registration: Please Choose One. *	Western Regional, Fontana CA, February 17-18   East / Southeastern Regional Houston TX, April 20-21   Mountain West Regional Denver CO, May 18-19   Mid West / Mid America Regional Chicago, IL August 3-4
Name of Your Church
Number of Guest
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