GROUP REGISTRATION FORM

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WNMDAG Annual Men’s Conference September 23rd-24th Spencer Lake Conference Center N1385 Cty Hwy E Waupaca, WI 54981



GROUP REGISTRATION FORM TWO WAYS TO REGISTER: § §

INTERNET: use credit card for individual or group registration at www.strongermensconference.com MAIL: Send this form with check (payable to “WNMDAG”) to WNMDAG (Judy Vanman), 1340 Berlin Street, PO Box 309, Waupaca, WI 54981

REGISTRATION FEES AND DEADLINES: By By By By

Aug. Aug. Sept Sept

15 th : 29 th : 12 th : 23 rd :

$70 $70 $75 $80

(group (group (group (group

of of of of

10 10 10 10

or or or or

more); more); more); more);

$75 $80 $85 $90

individual; individual; individual; individual;

free shirt $10 shirt $15 shirt $15 shirt

(Registration form must be received by this deadline) Church Name: Church Address: Name 1 2 3 4 5 6 7 8 9 10

E-mail

Phone

Shirt Size

Fee

WNMDAG Annual Men’s Conference September 23rd-24th Spencer Lake Conference Center N1385 Cty Hwy E Waupaca, WI 54981

11



12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

TOTAL DUE: ** NOTE: Only include a shirt size if you are including payment for a shirt. If the registration is received before Aug. 15th, no payment is needed, because the shirt is free. If it’s received Aug. 15-29th, the fee is $10 per shirt. After Aug. 29th, the fee is $15.