Hope in Action II

Rural and Urban Life Gathering 2007 Registration

INDIVIDUAL/COUPLE: Name(s) & address:

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Phone: _____________________________________________________________________

Email: ______________________________________________________________________

GROUP: Please attach complete address, phone & contact details for all in your group.

Contact Person’s Information:

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____________________________________________________________________________

____________________________________________________________________________

Phone: _____________________________________________________________________

Email: ______________________________________________________________________

Mail to: Churches’ Center for Land and People, 4200 County Hwy M, Middleton, WI 53562

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