Encouraging and Equipping Today’s  Christian Wives and Mothers

Registration Form

 

Name_____________________________________________

 

Address __________________________________________

 

City, State, Zip ____________________________________

 

Email _____________________________________________

 

Phone ____________________________________________

 

Home Church _____________________________________

 

Registration prior to March 9, 2009 …....…….…$50

 

Registration after March  9, 2009.............……..$65

 

 

 

Refresh Women’s Conference

Bringing Real Refreshment to Today’s Busy Women

Age:        18-24     25-32     33-41     42-51     52-62     62+

 

# of children living at home:  _____

 

Ages  of children:   ___ Preschool   ___ Elementary

 

___ Jr. High   ___  Sr. High   ___  Empty Nest

 

Marital Status:  ___ Single   ___ Married   ___ Divorced

 

All registrations must be postmarked by March 23,  2009. 

Registration is transferable but not refundable. 

Registrations will be accepted at the door  —  $75.

Register before March 9th to be eligible for makeover.

 

 

Make checks payable to Heart of the Home

Complete this form and mail with payment to:

 

Heart of the Home

PO Box 272

Atascadero, CA  93423

 

www.heartofthehome.org

(888) 214-9242

Make checks payable to Heart of the Home—Print this form and mail with payment to:

Heart of the Home

PO Box 272

Atascadero, CA  93423