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LaAmistad Volunteer Appreciation Breakfast Registration
4th Annual LaAmistad Volunteer Appreciation Breakfast
Saturday, April 27, 2019, 9-11am at Trinity Anglican Church
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General Information
*First Name:
*Last Name:
*Address:
*City:
*State:
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CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
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MT
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OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
*Zip Code:
*Phone:
*Email:
*Volunteer Program Location:
Peachtree Presbyterian Church
Westminster Presbyterian Church
The Cathedral of St. Philip
Trinity Anglican Church
Church of the New Covenant
Clairmont Presbyterian Church
Centro Catolico, the Mission of Holy Spirit
Shallowford Presbyterian Church
South Cobb Recreation Center
YELLS Community Action Cafe
Marietta 6th Grade Academy
Holy Innocents' Episcopal Church
The Westminster Schools
St. Martin Episcopal Church
*Type of Volunteer:
LaAmistad After School
LaAmistad ESL
Teen Center
English for Successful Living
Sunday Study Hall
Summer Camp
Estrellitas
Special Events
Other
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TOTAL COST: $
0.00
Payment Information
*First Name:
*Last Name:
*Card Type:
American Express
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Visa
*Card No:
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*Card Security Code (CSC):
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Billing Information (must match billing address of credit or debit card)
Address same as above
*Address:
Apt/suite/other:
*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
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
*Zip: