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Title
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Mr.
Mrs.
Miss
Dr.
Pastor
First Name
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Last Name
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Email
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Phone Number
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Are you a WCBC Alumnus?
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No
Yes
Church Information
Country
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Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
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United States Minor Outlying Islands
Uruguay
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Vanuatu
Vatican
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Vietnam
Wallis and Futuna
Western Sahara
Yemen
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Zimbabwe
Church Name
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Pastor's Name
Address 1
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Address 2
City
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State
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Armed Forces (Americas)
Armed Forces (Europe, Canada, Middle East, Africa)
Armed Forces (Pacific)
American Samoa
Federated States of Micronesia
Guam
Marshall Islands
Northern Mariana Islands
Palau
Puerto Rico
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ZIP code
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Additional Information
RSVP for Tuesday Luncheon?
*
No
Yes
Will you need childcare?
*
No
Yes
How many children?
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- Select a value -
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Children Ages
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Ages separated by comma
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