Created For Purpose BOOKSTUDY 2023

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Use this form to register for the class and/or purchase a book

Name

*

Email

*

This address will receive a confirmation email

Phone

*

For the in-Person Sessions I will:

*

Please select one option.

Attend In-person Attend Online

Part of the cost of the book helps to cover the costs of putting on the study.

Created for Purpose Book

No Book (online attendance) ($0) No Book (in-person attendance) ($5) 1 Book ($20) 2 Books ($40) 3 Books ($60) 4 Books ($80) 5 Books ($100) Already Paid (Attending) ($0)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

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