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Register for our event by filling out the information below:

First Name

Last Name

Your contact info:

Email Address

Phone Number

What is the best way to reach you?

Email

Phone

Please enter your full address:

Street Address

City

State

Zip Code

Registration Type:

Single, group or student registration?

Single

Group (discount for 4 or more)

Student (4th grade - college)

Registration Fee: $35/person | $25/person in group of 4+ | $25/student

ONLINE PAYMENTS CAN BE MADE AT: http://fbcbeaumont.org/dmu

Church Name

If group, how many people are in your group?

How many students?

List full names of each person in your group (and position if on church staff):

How many will attend the optional Pastor's Lab with Greg Ogden on Friday 2-4pm?

Additional Information

DMU Event Registration