Music Makes Community Residency Registration Form
Please fill out this form and click submit.
Registrant Information
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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Residency Event Attendance
Please select all that apply
*
Please select all that apply.
Community SING Event! Friday 5-6:30 pm
MMC Training Workshop, Saturday 9:30am - 4:00 pm
Worship & Residency Experience Forum, Sunday 10:30am - 1pm
Workshop Lunch Option
Lunch Option & Workshop Registration
*
Please select all that apply.
$35 workshop registration fee, $10 of which is my lunch that day.
$25 workshop registration fee, I am responsible for my lunch that day
I need financial assistance to attend the workshop
I would sponsor someone who needs financial assistance to attend the workshop
Payment
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
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AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
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