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Couples' Retreat
Couples' Retreat
Registeration Form
Fill the form below
How did you hear about the meeting
Handbill
Program Announcement
Ladtem Website
Friend's Inviation
Sex:
Male
Female
Have you attended this Porgram before?
Yes
No
Choose age Group
Under 18
18-24
25-34
35-44
45-54
55-64
Choose marital Status
Single
Married
Divorced
Widow
Which program are you registering for?
Couples' Retreat
Select State
Abia
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Federal Capital Territory
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