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(Check payable to Ruth Revisited)
Ruth Revisited
c/o Trinity Worship Center
200 Lenvoil Road
Martinsville, IN 46151
Name:______________________________________
email:_____________________ on FaceBook? _Y _N
Phone:_______________ Cell Phone: _____________
Age: (if under 18) ___ Paren'ts Signature____________
__ I am attending full event.Oct 22-23, 2010 $40.00
__ I am coming Friday Oct. 22 only $20.00
(includes dinner)
__ I am coming Saturday Oct. 23 only $25.00
(includes breakfast and lunch)