Youth Aflame Connection 2012 - September 13-16
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— Youth Aflame Connection 2012 Registration — YouthAflame.org Registration Use this form to submit your registration for the Youth Aflame Connection 2012. When: Sept. 13-16, 2012. Where: Kirkley Hotel and Conference Center [map]     2900 Candlers Mountain Road     Lynchburg, VA 24502 Hotel Phone: 1-434-237-6333 / Fax: 1-434-237-4277 Toll-Free 1-866-510-6333 Cost: $20.00 (Does not include lodging) Your name Your maiden name (optional) Mailing address City/State/Zip Phone number E-mail address Payment method: There are two payment methods. • You may send a check, or • You may pay on line using PayPal or a credit card. After choosing your payment method, click SUBMIT. You will be taken to the payment page where you will find the mailing address for submitting your check and a link to pay on line. I'll send a check I'll pay on line using PayPal or credit card

     

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