Register by Check

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Copy and Paste this information to your Notepad or
word processing document and print.

Fill in the blanks and mail this along with a check to:

(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)