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Ballroom Home
About the Evening
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About Us
All Registrations FINAL
Name:
ex. John and Jane Smith
Name of Church:
Address:
City:
State:
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AA
AE
AP
AS
FM
GU
MH
MP
PR
PW
VI
Zip:
Phone:
Email:
Number of Tickets
1
2
3
4
5
6
7
8
9
10
1 ticket per couple - $60
We have closed on-line registration
Please call 405-201-2068 for availibity
Tel: 405-201-2068
Email:
info@eyetoeyecommunity.com