| Full name: |
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Registration fee = $100
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| Street Address: |
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| City, State ZIP: |
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Reserve ACU dorm room for this person: |
| Email: |
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Dorm fee for (enter 1, 2 or 3)
nights at $20 per night
Date of arrival: |
| Work and Cell Phone: |
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Roommate (for single room leave blank):
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| Home phone: |
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| Congregation/Organization: |
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Reserve $35 meal plan for this person: |
| Please check: |
Mission Committee Member
Elder
Other
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Meal Plan at $35 per person (This includes 3 meals on Thursday, 3 meals on Friday, and breakfast on Saturday.)
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