Registration Form by l8HOkc

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									                               MERE ANGLICANISM Conference 2011
                           Charleston, South Carolina - January 20 – January 22


Name:


Address:


City:                                 State:                           Zip:


E-mail:


Home phone:                                               Fax:


Occupation:


Parish (or Church):


Diocese (if applicable):


Denomination (if other than Anglican):


Anglican affiliation:

Friday night Banquet honoring Bishop Allison – please circle:          I will attend
(additional $32 fee to the conference)




Please return the form to Mere Anglicanism, 126 Coming Street, Charleston, South Carolina, 29403
The fee for the conference is $100.00, checks payable to Mere Anglicanism

								
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