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Registration Form

Name:  _____________________________________________________

Mailing Address:  _____________________________________________

City: ______________________ State: ____________ ZipCode:__________

Daytime Phone: ________________________________________________

Evening Phone: _________________________________________________

Email: _________________________________________________________

Church: ________________________________________________________

                                  Registration Fee: $10.00
                                          Payment

                                  ____________ Check
                                  ____________   Money Order
                                  ____________    Cash

____________  I can not be present.  I have included my registration fee and wish to receive
commemoratives of the day's events.

All payments should be made payable to:

Christian Men's Freedom Forum 2000

Mail to: CMFF 2000
Attn: Registration
1134 11th St., NW - Third Floor Suite
Washington, DC 20001

Questions, Comments, Concerns

Call: 202.842.3788 or Fax: 202.289.1942

Registration is required for all forum attendee

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