Charlotte Area Singles Conference 2016

CharlotteAreaSinglesConference2016 Registration Form

Name: _________________________________________________________

Address: ________________________________________________________

Phone #: _______________________________________________________

Ward & Stake: __________________________________________________

Cost:  $30.00 for entire conference

          $  5.00 per dance, if only attending the dance.

Payment Options:

1. Paypal: Hit the Paypal button to the right. Be sure to include you registration information in the special instructions field.

or

2. Print this Registration Form and a check made out to Charlotte Central Stake, mail it to:

JoAnne Eskelsen

4499 Gold Hill Rd.

Concord, NC 28025