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OFFICE USE ONLYApplication Rec’d_____________Check # _______ Amt. Rec’d ________CC run _____ Code _______________Christian Women’s Business Conference <br />Saturday, September 18, 2010<br />8:15 a.m. – 4:00 p.m.           <br />Sponsored by AWE - Arizona Women’s Experience and Women of Faith in Business                 <br />Located at:  Arizona Community Church           <br />                    9325 South Rural Road<br />                    Tempe, AZ  85284<br />To benefit: Operation Christmas Child (www.operationchristmaschild.org) Please bring a new yo-yo or slinky to be sent to needy boys around the world.<br />REGISTRATION FORM<br />Name:  ______________________________________________________________________________<br />Business Name:  ______________________________________________________________________<br />Address:  ____________________________________________________________________________<br />City:  _______________________ State:  __________ Zip:  ___________________ <br />Home Phone: _______________ Work Phone: ________________ Cell Phone: _____________________<br />E-mail address (required) ______________________________________________________<br />Website Address: ___________________________________________________<br />Are you a member of Arizona Community Church (ACC) or Women of Faith in Business (WFB)? _____ Yes<br />As a member of ACC or WFB you will receive a 10% discount! See prices below.<br />___ $35Please sign me up to attend the Conference (includes continental breakfast and your choice boxed<br />lunch – see below). (ACC and WFB members, pay $31)<br />Credit Card (VISA, MC only) number: ______________________________________________________________<br />Expiration date: __________________________________________<br />Security Code (three digit number found on the back of your card):  ___________________________________<br />Complete the registration form with your credit card information and email to jdrez@azcc.org or fax to 480-777-9426. If you prefer to register by phone, call 480-491-2210 and have your registration and credit card information available. Or you can mail check, payable to ACC, to: CWBC, Arizona Community Church, 9325 S. Rural Rd, Tempe AZ 85284<br />Boxed Lunch choice: □ Turkey□ Ham□ Veggie (avocado and cucumber)<br />Bring lots of business cards for drawings and networking!<br />Questions: Janet Drez at ACC, 480-491-2210 or jdrez@azcc.org<br />

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Christian Womens Business Conference Registration Form Sept 18, 2010

  • 1. OFFICE USE ONLYApplication Rec’d_____________Check # _______ Amt. Rec’d ________CC run _____ Code _______________Christian Women’s Business Conference <br />Saturday, September 18, 2010<br />8:15 a.m. – 4:00 p.m. <br />Sponsored by AWE - Arizona Women’s Experience and Women of Faith in Business <br />Located at: Arizona Community Church <br /> 9325 South Rural Road<br /> Tempe, AZ 85284<br />To benefit: Operation Christmas Child (www.operationchristmaschild.org) Please bring a new yo-yo or slinky to be sent to needy boys around the world.<br />REGISTRATION FORM<br />Name: ______________________________________________________________________________<br />Business Name: ______________________________________________________________________<br />Address: ____________________________________________________________________________<br />City: _______________________ State: __________ Zip: ___________________ <br />Home Phone: _______________ Work Phone: ________________ Cell Phone: _____________________<br />E-mail address (required) ______________________________________________________<br />Website Address: ___________________________________________________<br />Are you a member of Arizona Community Church (ACC) or Women of Faith in Business (WFB)? _____ Yes<br />As a member of ACC or WFB you will receive a 10% discount! See prices below.<br />___ $35Please sign me up to attend the Conference (includes continental breakfast and your choice boxed<br />lunch – see below). (ACC and WFB members, pay $31)<br />Credit Card (VISA, MC only) number: ______________________________________________________________<br />Expiration date: __________________________________________<br />Security Code (three digit number found on the back of your card): ___________________________________<br />Complete the registration form with your credit card information and email to jdrez@azcc.org or fax to 480-777-9426. If you prefer to register by phone, call 480-491-2210 and have your registration and credit card information available. Or you can mail check, payable to ACC, to: CWBC, Arizona Community Church, 9325 S. Rural Rd, Tempe AZ 85284<br />Boxed Lunch choice: □ Turkey□ Ham□ Veggie (avocado and cucumber)<br />Bring lots of business cards for drawings and networking!<br />Questions: Janet Drez at ACC, 480-491-2210 or jdrez@azcc.org<br />